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#6686 of 11K

91308

HCPCS Procedure Code

HCPCS code 91308 is the #6,686 most-billed Medicaid procedure code, with $48K in payments across 67K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $1.94 per claim, 194.0× the median.

Total Paid

$48K

0.00% of all spending

Total Claims

67K

Providers

564

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 91308? Based on 149 providers billing this code nationally.

Median

$0.01

Average

$5.76

Std Dev

$52.61

Max

$640.00

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.04
p90
$1.94
p95
$10.05
p99
$34.93

50% of providers bill between $0.00 and $0.04 per claim for this code.

90% bill between $0.00 and $1.94.

Top 1% bill above $34.93.

About This Procedure

HCPCS code 91308 was billed by 564 providers across 67K claims, totaling $48K in Medicaid payments from 2018–2024. This code was used for 58K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

149

National Spending

$48K

Avg/Median Ratio

576.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 91308

#ProviderTotal Paid
1Alamo Navajo School Board, Inc.

Alamo, NM · Clinic/Center, Primary Care

$15K
2Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$11K
31497812721$7K
4Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$4K
51376104125$3K
61063507747$920
7Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$826
8Mount Sinai Hospital

New York, NY · Ambulance

$666
91972664613$612
101356941306$541
111164613857$540
121144345737$459
131275724767$450
141942687751$430
15St. Barnabas Hospital

Bronx, NY · General Acute Care Hospital

$306
16Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$275
171356307581$175
181457346090$100
191578633533$50
20Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$50

Showing top 20 of 564 providers billing this code