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#5231 of 11K

93452

HCPCS Procedure Code

HCPCS code 93452 is the #5,231 most-billed Medicaid procedure code, with $254K in payments across 323 claims from 2018–2024. The national median cost per claim is $114.99. Costs vary widely — the 90th percentile is $724.72 per claim, 6.3× the median.

Total Paid

$254K

0.00% of all spending

Total Claims

323

Providers

3

Avg Cost/Claim

$787

National Cost Distribution

How much do providers bill per claim for 93452? Based on 3 providers billing this code nationally.

Median

$114.99

Average

$368.27

Std Dev

$440.70

Max

$877.15

Percentile Distribution (Cost per Claim)

p10
$113.14
p25
$113.83
Median
$114.99
p75
$496.07
p90
$724.72
p95
$800.93
p99
$861.90

50% of providers bill between $113.83 and $496.07 per claim for this code.

90% bill between $113.14 and $724.72.

Top 1% bill above $861.90.

About This Procedure

HCPCS code 93452 was billed by 3 providers across 323 claims, totaling $254K in Medicaid payments from 2018–2024. This code was used for 266 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$114.99

Providers Billing

3

National Spending

$254K

Avg/Median Ratio

3.20×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.