93978
HCPCS Procedure Code
HCPCS code 93978 is the #1,739 most-billed Medicaid procedure code, with $15.0M in payments across 201K claims from 2018–2024. The national median cost per claim is $60.72. Costs vary widely — the 90th percentile is $141.44 per claim, 2.3× the median.
Total Paid
$15.0M
0.00% of all spending
Total Claims
201K
Providers
502
Avg Cost/Claim
$75
National Cost Distribution
How much do providers bill per claim for 93978? Based on 487 providers billing this code nationally.
Median
$60.72
Average
$71.40
Std Dev
$53.22
Max
$399.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.58 and $106.62 per claim for this code.
90% bill between $11.98 and $141.44.
Top 1% bill above $195.02.
About This Procedure
HCPCS code 93978 was billed by 502 providers across 201K claims, totaling $15.0M in Medicaid payments from 2018–2024. This code was used for 191K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.72
Providers Billing
487
National Spending
$15.0M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 93978
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598906521 | $1.0M |
| 2 | 1255983730 | $924K |
| 3 | 1174878581 | $773K |
| 4 | 1306061890 | $605K |
| 5 | 1164415899 | $534K |
| 6 | 1750436945 | $335K |
| 7 | 1265521181 | $279K |
| 8 | 1326368630 | $277K |
| 9 | 1174606438 | $266K |
| 10 | 1770051690 | $260K |
| 11 | Cardiovascular Institute Of San Diego Inc Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology | $210K |
| 12 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $210K |
| 13 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $207K |
| 14 | 1912275215 | $199K |
| 15 | 1912155110 | $184K |
| 16 | 1568416709 | $176K |
| 17 | 1265551311 | $168K |
| 18 | 1164467288 | $164K |
| 19 | 1598941577 | $152K |
| 20 | 1124589338 | $141K |
Showing top 20 of 502 providers billing this code