93454
HCPCS Procedure Code
HCPCS code 93454 is the #2,151 most-billed Medicaid procedure code, with $8.4M in payments across 14K claims from 2018–2024. The national median cost per claim is $141.82. Costs vary widely — the 90th percentile is $1,476.65 per claim, 10.4× the median.
Total Paid
$8.4M
0.00% of all spending
Total Claims
14K
Providers
108
Avg Cost/Claim
$600
National Cost Distribution
How much do providers bill per claim for 93454? Based on 108 providers billing this code nationally.
Median
$141.82
Average
$453.35
Std Dev
$563.12
Max
$2,410.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $94.82 and $702.88 per claim for this code.
90% bill between $61.57 and $1,476.65.
Top 1% bill above $1,871.71.
About This Procedure
HCPCS code 93454 was billed by 108 providers across 14K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$141.82
Providers Billing
108
National Spending
$8.4M
Avg/Median Ratio
3.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 93454
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $2.2M |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $701K |
| 3 | Dignity Health San Bernardino, CA · General Acute Care Hospital | $603K |
| 4 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $602K |
| 5 | 1366459570 | $505K |
| 6 | 1639172372 | $405K |
| 7 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $343K |
| 8 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $284K |
| 9 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $240K |
| 10 | Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital | $202K |
| 11 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $189K |
| 12 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $182K |
| 13 | 1538157508 | $156K |
| 14 | 1023171501 | $153K |
| 15 | 1306876065 | $128K |
| 16 | 1881785863 | $119K |
| 17 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $105K |
| 18 | 1770581894 | $87K |
| 19 | 1528195864 | $84K |
| 20 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $84K |
Showing top 20 of 108 providers billing this code