93985
HCPCS Procedure Code
HCPCS code 93985 is the #4,683 most-billed Medicaid procedure code, with $453K in payments across 3K claims from 2018–2024. The national median cost per claim is $87.88. Costs vary widely — the 90th percentile is $195.64 per claim, 2.2× the median.
Total Paid
$453K
0.00% of all spending
Total Claims
3K
Providers
34
Avg Cost/Claim
$130
National Cost Distribution
How much do providers bill per claim for 93985? Based on 33 providers billing this code nationally.
Median
$87.88
Average
$107.66
Std Dev
$78.22
Max
$347.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.80 and $154.12 per claim for this code.
90% bill between $22.68 and $195.64.
Top 1% bill above $309.65.
About This Procedure
HCPCS code 93985 was billed by 34 providers across 3K claims, totaling $453K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$87.88
Providers Billing
33
National Spending
$453K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 93985
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1316902208 | $182K |
| 2 | 1316997505 | $77K |
| 3 | 1447200126 | $57K |
| 4 | 1487327201 | $41K |
| 5 | 1972790863 | $28K |
| 6 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $10K |
| 7 | 1205906229 | $7K |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $6K |
| 9 | 1235150400 | $6K |
| 10 | 1285893107 | $5K |
| 11 | 1437705456 | $4K |
| 12 | 1942284005 | $4K |
| 13 | 1295706901 | $3K |
| 14 | 1073599734 | $3K |
| 15 | 1073795498 | $2K |
| 16 | 1275129181 | $2K |
| 17 | 1770688145 | $2K |
| 18 | 1821415142 | $2K |
| 19 | 1710959150 | $2K |
| 20 | 1568007425 | $2K |
Showing top 20 of 34 providers billing this code