#3993 of 11K

93460

HCPCS Procedure Code

HCPCS code 93460 is the #3,993 most-billed Medicaid procedure code, with $947K in payments across 1K claims from 2018–2024. The national median cost per claim is $208.38. Costs vary widely — the 90th percentile is $1,628.05 per claim, 7.8× the median.

Total Paid

$947K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$931

National Cost Distribution

How much do providers bill per claim for 93460? Based on 18 providers billing this code nationally.

Median

$208.38

Average

$872.36

Std Dev

$1,461.96

Max

$6,293.60

Percentile Distribution (Cost per Claim)

p10

$115.72

p25

$168.84

Median

$208.38

p75

$912.43

p90

$1,628.05

p95

$2,520.51

p99

$5,538.98

50% of providers bill between $168.84 and $912.43 per claim for this code.

90% bill between $115.72 and $1,628.05.

Top 1% bill above $5,538.98.

About This Procedure

HCPCS code 93460 was billed by 21 providers across 1K claims, totaling $947K in Medicaid payments from 2018–2024. This code was used for 901 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$208.38

Providers Billing

National Spending

$947K

Avg/Median Ratio

4.19×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93460

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$352K	$6,293.60	30.2× median	Top 1%
2	The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital	$286K	$1,854.67	8.9× median	Top 10%
3	Hartford Hospital Hartford, CT · General Acute Care Hospital	$104K	$1,320.59	6.3× median	Above 75th
4	Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital	$46K	$1,530.92	7.3× median	Above 75th
5	1043209414	$41K	$867.63	4.2× median	Above Median
6	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$33K	$168.41	0.8× median	Below Median
7	1740208081	$25K	$922.33	4.4× median	Above 75th
8	1225033020	$13K	$882.73	4.2× median	Above Median
9	1386725513	$12K	$114.27	0.5× median	Below Median
10	Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital	$10K	$502.05	2.4× median	Above Median
11	1982787487	$8K	$189.24	0.9× median	Below Median
12	1811194244	$4K	$170.14	0.8× median	Below Median
13	1225368988	$3K	$202.60	1.0× median	Below Median
14	1417902925	$3K	$214.15	1.0× median	Above Median
15	1730195108	$2K	$26.82	0.1× median	Below Median
16	1881965366	$2K	$180.62	0.9× median	Below Median
17	1700803418	$2K	$145.44	0.7× median	Below Median
18	1699874248	$2K	$116.35	0.6× median	Below Median
19	1386178721	$0	$0.00	0.0× median	Below Median
20	Medical University Hospital Authority Charleston, SC · General Acute Care Hospital	$0	$0.00	0.0× median	Below Median

Showing top 20 of 21 providers billing this code

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