#4361 of 11K

93784

HCPCS Procedure Code

HCPCS code 93784 is the #4,361 most-billed Medicaid procedure code, with $635K in payments across 19K claims from 2018–2024. The national median cost per claim is $38.61. Costs vary widely — the 90th percentile is $151.92 per claim, 3.9× the median.

Total Paid

$635K

0.00% of all spending

Total Claims

19K

Providers

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 93784? Based on 51 providers billing this code nationally.

Median

$38.61

Average

$54.56

Std Dev

$50.56

Max

$185.35

Percentile Distribution (Cost per Claim)

p10

$5.62

p25

$22.60

Median

$38.61

p75

$66.75

p90

$151.92

p95

$167.71

p99

$182.83

50% of providers bill between $22.60 and $66.75 per claim for this code.

90% bill between $5.62 and $151.92.

Top 1% bill above $182.83.

About This Procedure

HCPCS code 93784 was billed by 54 providers across 19K claims, totaling $635K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.61

Providers Billing

National Spending

$635K

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93784

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1043235658	$129K	$151.92	3.9× median	Above 75th
2	1457396541	$76K	$48.74	1.3× median	Above Median
3	1285181164	$65K	$64.39	1.7× median	Above Median
4	1285687780	$53K	$170.20	4.4× median	Top 10%
5	1669448882	$50K	$38.36	1.0× median	Below Median
6	1568538510	$40K	$45.96	1.2× median	Above Median
7	1265791941	$39K	$53.99	1.4× median	Above Median
8	1164627295	$38K	$38.61	1.0× median	Below Median
9	1184605669	$23K	$165.23	4.3× median	Top 10%
10	1366871378	$22K	$31.64	0.8× median	Below Median
11	1205940152	$10K	$44.49	1.2× median	Above Median
12	1093024101	$10K	$69.11	1.8× median	Above 75th
13	1770722688	$8K	$72.24	1.9× median	Above 75th
14	1639309842	$8K	$3.12	0.1× median	Below Median
15	1598130379	$7K	$185.35	4.8× median	Top 1%
16	1538201744	$7K	$59.52	1.5× median	Above Median
17	Phoenix Children's Hospital Phoenix, AZ · Pediatrics	$5K	$44.39	1.1× median	Above Median
18	1386045292	$5K	$180.32	4.7× median	Top 10%
19	1548209315	$4K	$60.75	1.6× median	Above Median
20	1225059660	$3K	$17.26	0.4× median	Below Median

Showing top 20 of 54 providers billing this code

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