93325
HCPCS Procedure Code
HCPCS code 93325 is the #528 most-billed Medicaid procedure code, with $164.6M in payments across 5.4M claims from 2018–2024. The national median cost per claim is $14.61. Costs vary widely — the 90th percentile is $69.81 per claim, 4.8× the median.
Total Paid
$164.6M
0.02% of all spending
Total Claims
5.4M
Providers
2K
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 93325? Based on 2K providers billing this code nationally.
Median
$14.61
Average
$28.42
Std Dev
$53.31
Max
$1,293.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.28 and $29.50 per claim for this code.
90% bill between $1.79 and $69.81.
Top 1% bill above $216.33.
About This Procedure
HCPCS code 93325 was billed by 2K providers across 5.4M claims, totaling $164.6M in Medicaid payments from 2018–2024. This code was used for 4.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.61
Providers Billing
2K
National Spending
$164.6M
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 93325
| # | Provider | Total Paid |
|---|---|---|
| 1 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $6.3M |
| 2 | 1235148727 | $4.8M |
| 3 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $3.5M |
| 4 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $3.0M |
| 5 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $2.6M |
| 6 | 1508211277 | $2.4M |
| 7 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $2.3M |
| 8 | 1396720371 | $2.3M |
| 9 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $2.0M |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.0M |
| 11 | 1356450910 | $1.8M |
| 12 | Children's Hospital Corporation Boston, MA · Clinic/Center | $1.8M |
| 13 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $1.8M |
| 14 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.8M |
| 15 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $1.6M |
| 16 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $1.6M |
| 17 | 1700949336 | $1.6M |
| 18 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $1.5M |
| 19 | 1356541429 | $1.4M |
| 20 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $1.4M |
Showing top 20 of 2K providers billing this code