#1161 of 11K

93922

HCPCS Procedure Code

HCPCS code 93922 is the #1,161 most-billed Medicaid procedure code, with $36.2M in payments across 952K claims from 2018–2024. The national median cost per claim is $26.06. Costs vary widely — the 90th percentile is $71.37 per claim, 2.7× the median.

Total Paid

$36.2M

0.00% of all spending

Total Claims

952K

Providers

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for 93922? Based on 2K providers billing this code nationally.

Median

$26.06

Average

$34.08

Std Dev

$32.34

Max

$500.14

Percentile Distribution (Cost per Claim)

p10

$5.51

p25

$12.05

Median

$26.06

p75

$47.77

p90

$71.37

p95

$84.07

p99

$150.48

50% of providers bill between $12.05 and $47.77 per claim for this code.

90% bill between $5.51 and $71.37.

Top 1% bill above $150.48.

About This Procedure

HCPCS code 93922 was billed by 2K providers across 952K claims, totaling $36.2M in Medicaid payments from 2018–2024. This code was used for 863K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.06

Providers Billing

National Spending

$36.2M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93922

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1366418709	$1.3M	$129.90	5.0× median	Top 10%
2	Cardiovascular Institute Of San Diego Inc Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology	$877K	$69.23	2.7× median	Above 75th
3	1275916652	$744K	$71.84	2.8× median	Top 10%
4	1033664909	$698K	$330.36	12.7× median	Top 1%
5	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$634K	$78.51	3.0× median	Top 10%
6	1174537948	$524K	$77.22	3.0× median	Top 10%
7	1073003190	$517K	$79.65	3.1× median	Top 10%
8	1407887003	$509K	$236.95	9.1× median	Top 1%
9	1376806315	$421K	$42.51	1.6× median	Above Median
10	1417919531	$395K	$316.30	12.1× median	Top 1%
11	1194721043	$374K	$71.24	2.7× median	Above 75th
12	Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital	$357K	$106.12	4.1× median	Top 10%
13	1619977030	$353K	$43.81	1.7× median	Above Median
14	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$350K	$100.65	3.9× median	Top 10%
15	1053567883	$317K	$73.94	2.8× median	Top 10%
16	Spartanburg Medical Center Spartanburg, SC · Ambulance	$313K	$171.16	6.6× median	Top 1%
17	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$279K	$92.52	3.6× median	Top 10%
18	1558688754	$276K	$37.81	1.5× median	Above Median
19	1851352678	$272K	$45.50	1.7× median	Above Median
20	University Hospital Newark, NJ · General Acute Care Hospital	$257K	$131.43	5.0× median	Top 10%

Showing top 20 of 2K providers billing this code

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93925$49.8M 93923$27.7M 93924$3.1M 93926$2.4M 93931$1.0M

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