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#5543 of 11K

93567

HCPCS Procedure Code

HCPCS code 93567 is the #5,543 most-billed Medicaid procedure code, with $179K in payments across 4,043 claims from 2018–2024. The national median cost per claim is $39.79. Costs vary widely — the 90th percentile is $120.08 per claim, 3.0× the median.

Total Paid

$179K

0.00% of all spending

Total Claims

4,043

Providers

31

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for 93567? Based on 28 providers billing this code nationally.

Median

$39.79

Average

$68.45

Std Dev

$105.38

Max

$567.71

Percentile Distribution (Cost per Claim)

p10
$15.15
p25
$22.42
Median
$39.79
p75
$76.31
p90
$120.08
p95
$153.87
p99
$457.55

50% of providers bill between $22.42 and $76.31 per claim for this code.

90% bill between $15.15 and $120.08.

Top 1% bill above $457.55.

About This Procedure

HCPCS code 93567 was billed by 31 providers across 4,043 claims, totaling $179K in Medicaid payments from 2018–2024. This code was used for 3,413 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.79

Providers Billing

28

National Spending

$179K

Avg/Median Ratio

1.72×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93567

#ProviderTotal Paid
11538284393$37K
21760446207$34K
31801869250$16K
4Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$15K
5Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$15K
61477550556$12K
71043209414$11K
81891773727$6K
91649570425$5K
101528078219$4K
111285800342$3K
121154396489$2K
131346230968$2K
141093024101$2K
151811920549$2K
161922043686$2K
171194723262$1K
181477503407$1K
19Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$1K
20Vanderbilt University Medical Center

Nashville, TN · Psychiatric Unit

$998

Showing top 20 of 31 providers billing this code