91318
HCPCS Procedure Code
HCPCS code 91318 is the #4,951 most-billed Medicaid procedure code, with $342K in payments across 28K claims from 2018–2024. The national median cost per claim is $11.62. Costs vary widely — the 90th percentile is $42.00 per claim, 3.6× the median.
Total Paid
$342K
0.00% of all spending
Total Claims
28K
Providers
254
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 91318? Based on 131 providers billing this code nationally.
Median
$11.62
Average
$16.86
Std Dev
$19.20
Max
$86.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.95 and $23.12 per claim for this code.
90% bill between $0.01 and $42.00.
Top 1% bill above $71.35.
About This Procedure
HCPCS code 91318 was billed by 254 providers across 28K claims, totaling $342K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.62
Providers Billing
131
National Spending
$342K
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 91318
| # | Provider | Total Paid |
|---|---|---|
| 1 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $43K |
| 2 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $38K |
| 3 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $30K |
| 4 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $21K |
| 5 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $19K |
| 6 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $16K |
| 7 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $16K |
| 8 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $13K |
| 9 | Permanente Medical Group Inc Santa Clara, CA · Anesthesiology | $10K |
| 10 | 1841200664 | $7K |
| 11 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $7K |
| 12 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $7K |
| 13 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $7K |
| 14 | 1386911691 | $6K |
| 15 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $6K |
| 16 | 1730551193 | $5K |
| 17 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $5K |
| 18 | Permanente Medical Group Inc Vallejo, CA · Anesthesiology | $4K |
| 19 | 1255875746 | $4K |
| 20 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $4K |
Showing top 20 of 254 providers billing this code