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#5539 of 11K

93788

HCPCS Procedure Code

HCPCS code 93788 is the #5,539 most-billed Medicaid procedure code, with $180K in payments across 5,014 claims from 2018–2024. The national median cost per claim is $28.32. Costs vary widely — the 90th percentile is $108.36 per claim, 3.8× the median.

Total Paid

$180K

0.00% of all spending

Total Claims

5,014

Providers

20

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for 93788? Based on 16 providers billing this code nationally.

Median

$28.32

Average

$51.56

Std Dev

$52.91

Max

$178.02

Percentile Distribution (Cost per Claim)

p10
$3.70
p25
$5.21
Median
$28.32
p75
$89.08
p90
$108.36
p95
$130.15
p99
$168.44

50% of providers bill between $5.21 and $89.08 per claim for this code.

90% bill between $3.70 and $108.36.

Top 1% bill above $168.44.

About This Procedure

HCPCS code 93788 was billed by 20 providers across 5,014 claims, totaling $180K in Medicaid payments from 2018–2024. This code was used for 4,686 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.32

Providers Billing

16

National Spending

$180K

Avg/Median Ratio

1.82×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93788

#ProviderTotal Paid
1Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$64K
2Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$60K
3Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$25K
4Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$8K
5Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$7K
6Children's Hospital Corporation

Boston, MA · Clinic/Center

$6K
7Rochester General Hospital

Rochester, NY · Dentist, General Practice

$3K
8Cook Children's Medical Center

Fort Worth, TX · General Acute Care Hospital Children

$2K
9Scott & White Memorial Hospital

Temple, TX · Clinic/Center, Ambulatory Surgical

$1K
101346297843$829
111710065933$828
12Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$808
13University Physicians Incorporated

Aurora, CO · Anesthesiology

$327
141093296121$74
151700949336$49
161669617197$6
171023055191$0
18Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$0
191720271513$0
20Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$0

Showing top 20 of 20 providers billing this code