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#466 of 11K

93971

Duplex scan of extremity veins, unilateral or limited

Duplex scan of extremity veins, unilateral or limited is the #466 most-billed Medicaid procedure code, with $205.0M in payments across 4.1M claims from 2018–2024. The national median cost per claim is $25.43. Costs vary widely — the 90th percentile is $102.99 per claim, 4.0× the median.

Total Paid

$205.0M

0.02% of all spending

Total Claims

4.1M

Providers

4K

Avg Cost/Claim

$50

National Cost Distribution

How much do providers bill per claim for 93971? Based on 4K providers billing this code nationally.

Median

$25.43

Average

$46.28

Std Dev

$52.07

Max

$1,171.92

Percentile Distribution (Cost per Claim)

p10
$8.53
p25
$12.09
Median
$25.43
p75
$67.77
p90
$102.99
p95
$137.48
p99
$228.06

50% of providers bill between $12.09 and $67.77 per claim for this code.

90% bill between $8.53 and $102.99.

Top 1% bill above $228.06.

About This Procedure

HCPCS code 93971 (Duplex scan of extremity veins, unilateral or limited) was billed by 4K providers across 4.1M claims, totaling $205.0M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.43

Providers Billing

4K

National Spending

$205.0M

Avg/Median Ratio

1.82×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93971

#ProviderTotal Paid
1Cardiovascular Institute Of San Diego Inc

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

$2.8M
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2.2M
3Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$1.8M
4The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$1.4M
51962828277$1.3M
61821415142$1.3M
7Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.3M
8Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$1.1M
91306282926$1.1M
10The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$1.1M
111043204316$1.1M
12Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.0M
131154356087$1.0M
141487772349$1.0M
15University Of Kentucky

Lexington, KY · General Acute Care Hospital

$990K
16Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$898K
171134194038$895K
181639140387$888K
19Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$824K
20Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$790K

Showing top 20 of 4K providers billing this code