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#6026 of 11K

90993

HCPCS Procedure Code

HCPCS code 90993 is the #6,026 most-billed Medicaid procedure code, with $104K in payments across 807 claims from 2018–2024. The national median cost per claim is $207.29.

Total Paid

$104K

0.00% of all spending

Total Claims

807

Providers

4

Avg Cost/Claim

$129

National Cost Distribution

How much do providers bill per claim for 90993? Based on 4 providers billing this code nationally.

Median

$207.29

Average

$194.05

Std Dev

$68.55

Max

$258.98

Percentile Distribution (Cost per Claim)

p10
$126.76
p25
$162.94
Median
$207.29
p75
$238.40
p90
$250.75
p95
$254.86
p99
$258.15

50% of providers bill between $162.94 and $238.40 per claim for this code.

90% bill between $126.76 and $250.75.

Top 1% bill above $258.15.

About This Procedure

HCPCS code 90993 was billed by 4 providers across 807 claims, totaling $104K in Medicaid payments from 2018–2024. This code was used for 143 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$207.29

Providers Billing

4

National Spending

$104K

Avg/Median Ratio

0.94×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.