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#2567 of 11K

93505

HCPCS Procedure Code

HCPCS code 93505 is the #2,567 most-billed Medicaid procedure code, with $4.9M in payments across 5,805 claims from 2018–2024. The national median cost per claim is $544.91. Costs vary widely — the 90th percentile is $1,786.55 per claim, 3.3× the median.

Total Paid

$4.9M

0.00% of all spending

Total Claims

5,805

Providers

33

Avg Cost/Claim

$850

National Cost Distribution

How much do providers bill per claim for 93505? Based on 32 providers billing this code nationally.

Median

$544.91

Average

$821.46

Std Dev

$791.45

Max

$3,303.17

Percentile Distribution (Cost per Claim)

p10
$87.21
p25
$159.10
Median
$544.91
p75
$1,306.67
p90
$1,786.55
p95
$2,108.81
p99
$3,040.11

50% of providers bill between $159.10 and $1,306.67 per claim for this code.

90% bill between $87.21 and $1,786.55.

Top 1% bill above $3,040.11.

About This Procedure

HCPCS code 93505 was billed by 33 providers across 5,805 claims, totaling $4.9M in Medicaid payments from 2018–2024. This code was used for 4,768 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$544.91

Providers Billing

32

National Spending

$4.9M

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93505

#ProviderTotal Paid
1The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$2.5M
2The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$350K
3Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$349K
41992703540$253K
5The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$224K
6Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$184K
71639172372$163K
8Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$143K
9University Of Washington

Seattle, WA · Clinic/Center, Dental

$101K
10Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$93K
11Hartford Hospital

Hartford, CT · General Acute Care Hospital

$80K
121154392231$79K
13Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$63K
14Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$61K
15Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$42K
16University Of Colorado Hospital Authority

Aurora, CO · General Acute Care Hospital

$36K
17Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$35K
18Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$25K
191508266347$20K
201417907940$18K

Showing top 20 of 33 providers billing this code

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