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#416 of 11K

93970

Duplex scan of extremity veins, complete, bilateral

Duplex scan of extremity veins, complete, bilateral is the #416 most-billed Medicaid procedure code, with $249.8M in payments across 3.5M claims from 2018–2024. The national median cost per claim is $43.07. Costs vary widely — the 90th percentile is $156.03 per claim, 3.6× the median.

Total Paid

$249.8M

0.02% of all spending

Total Claims

3.5M

Providers

4K

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 93970? Based on 4K providers billing this code nationally.

Median

$43.07

Average

$72.75

Std Dev

$79.05

Max

$986.45

Percentile Distribution (Cost per Claim)

p10
$11.79
p25
$18.26
Median
$43.07
p75
$108.94
p90
$156.03
p95
$196.70
p99
$402.05

50% of providers bill between $18.26 and $108.94 per claim for this code.

90% bill between $11.79 and $156.03.

Top 1% bill above $402.05.

About This Procedure

HCPCS code 93970 (Duplex scan of extremity veins, complete, bilateral) was billed by 4K providers across 3.5M claims, totaling $249.8M in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.07

Providers Billing

4K

National Spending

$249.8M

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93970

#ProviderTotal Paid
1Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$6.0M
21821415142$3.5M
31508877473$3.1M
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$2.6M
51487772349$2.0M
61962828277$1.7M
7New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$1.5M
8Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$1.4M
9Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$1.3M
101710312699$1.3M
11The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$1.2M
12Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$1.2M
131073003190$1.2M
141972790863$1.2M
15Montefiore Medical Center

Bronx, NY · Anesthesiology

$1.1M
161407877137$1.1M
171487608931$1.0M
18Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.0M
19Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$985K
201306282926$974K

Showing top 20 of 4K providers billing this code