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#6350 of 11K

93571

HCPCS Procedure Code

HCPCS code 93571 is the #6,350 most-billed Medicaid procedure code, with $72K in payments across 1,782 claims from 2018–2024. The national median cost per claim is $29.11. Costs vary widely — the 90th percentile is $322.29 per claim, 11.1× the median.

Total Paid

$72K

0.00% of all spending

Total Claims

1,782

Providers

8

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for 93571? Based on 7 providers billing this code nationally.

Median

$29.11

Average

$132.28

Std Dev

$254.81

Max

$708.46

Percentile Distribution (Cost per Claim)

p10
$19.40
p25
$24.98
Median
$29.11
p75
$62.62
p90
$322.29
p95
$515.38
p99
$669.84

50% of providers bill between $24.98 and $62.62 per claim for this code.

90% bill between $19.40 and $322.29.

Top 1% bill above $669.84.

About This Procedure

HCPCS code 93571 was billed by 8 providers across 1,782 claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 1,615 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.11

Providers Billing

7

National Spending

$72K

Avg/Median Ratio

4.54×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93571

#ProviderTotal Paid
11659597458$43K
21457467227$10K
3Atlanticare Regional Medical Center

Pomona, NJ · General Acute Care Hospital

$9K
4Southern Ohio Medical Center

Portsmouth, OH · Clinical Medical Laboratory

$5K
5St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$4K
61154556025$448
71124248752$437
8Mount Sinai Hospital

New York, NY · Ambulance

$0

Showing top 8 of 8 providers billing this code