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#5746 of 11K

93790

HCPCS Procedure Code

HCPCS code 93790 is the #5,746 most-billed Medicaid procedure code, with $146K in payments across 10K claims from 2018–2024. The national median cost per claim is $14.14.

Total Paid

$146K

0.00% of all spending

Total Claims

10K

Providers

39

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 93790? Based on 36 providers billing this code nationally.

Median

$14.14

Average

$16.00

Std Dev

$9.45

Max

$43.42

Percentile Distribution (Cost per Claim)

p10
$5.92
p25
$12.39
Median
$14.14
p75
$16.76
p90
$27.64
p95
$38.75
p99
$42.15

50% of providers bill between $12.39 and $16.76 per claim for this code.

90% bill between $5.92 and $27.64.

Top 1% bill above $42.15.

About This Procedure

HCPCS code 93790 was billed by 39 providers across 10K claims, totaling $146K in Medicaid payments from 2018–2024. This code was used for 6,963 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.14

Providers Billing

36

National Spending

$146K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93790

#ProviderTotal Paid
11356925960$57K
21336533041$12K
31255449963$11K
4Texas Children's Physician Group

Houston, TX · Pediatrics

$10K
51992785315$6K
61710947759$6K
71376614016$6K
81669617197$5K
91497791297$4K
101750351375$3K
11University Physicians Incorporated

Aurora, CO · Anesthesiology

$3K
121205425519$3K
131437555265$2K
141598130379$2K
151255354130$2K
161457458879$2K
171386045292$2K
18Cook Children's Physician Network

Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)

$2K
19Utmb Faculty Group Practice

Galveston, TX · Anesthesiology

$2K
201699979732$584

Showing top 20 of 39 providers billing this code