#4760 of 11K

93799

HCPCS Procedure Code

HCPCS code 93799 is the #4,760 most-billed Medicaid procedure code, with $417K in payments across 71K claims from 2018–2024. The national median cost per claim is $5.31. Costs vary widely — the 90th percentile is $29.95 per claim, 5.6× the median.

Total Paid

$417K

0.00% of all spending

Total Claims

71K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 93799? Based on 27 providers billing this code nationally.

Median

$5.31

Average

$14.08

Std Dev

$26.57

Max

$138.60

Percentile Distribution (Cost per Claim)

p10

$1.93

p25

$4.51

Median

$5.31

p75

$11.93

p90

$29.95

p95

$34.33

p99

$111.88

50% of providers bill between $4.51 and $11.93 per claim for this code.

90% bill between $1.93 and $29.95.

Top 1% bill above $111.88.

About This Procedure

HCPCS code 93799 was billed by 29 providers across 71K claims, totaling $417K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.31

Providers Billing

National Spending

$417K

Avg/Median Ratio

2.65×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93799

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Fairview Hospital Cleveland, OH · General Acute Care Hospital	$114K	$5.31	1.0× median	Below Median
2	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$71K	$8.41	1.6× median	Above Median
3	1235183542	$39K	$5.72	1.1× median	Above Median
4	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$30K	$8.65	1.6× median	Above Median
5	1194763045	$25K	$5.62	1.1× median	Above Median
6	1598719346	$24K	$4.79	0.9× median	Below Median
7	1902858152	$23K	$5.00	0.9× median	Below Median
8	1366433195	$19K	$4.85	0.9× median	Below Median
9	1942248737	$17K	$5.00	0.9× median	Below Median
10	1346607017	$11K	$4.02	0.8× median	Below Median
11	1083696710	$8K	$4.89	0.9× median	Below Median
12	1598868655	$8K	$17.46	3.3× median	Above 75th
13	1750572020	$7K	$30.79	5.8× median	Top 10%
14	1336103738	$7K	$4.23	0.8× median	Below Median
15	West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory	$5K	$4.93	0.9× median	Below Median
16	St Lukes Roosevelt Hospital Center New York, NY · Case Management	$3K	$7.38	1.4× median	Above Median
17	Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory	$2K	$35.84	6.8× median	Top 10%
18	1992708895	$2K	$138.60	26.1× median	Top 1%
19	1245248939	$1K	$8.89	1.7× median	Above Median
20	1811971302	$1K	$14.97	2.8× median	Above 75th

Showing top 20 of 29 providers billing this code

Related Procedures

93798Cardiac rehabilitation with continuous ECG monitoring, per session$20.1M 93793$2.2M 93797$1.1M 93790$146K

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