91321
HCPCS Procedure Code
HCPCS code 91321 is the #4,034 most-billed Medicaid procedure code, with $912K in payments across 69K claims from 2018–2024. The national median cost per claim is $16.72. Costs vary widely — the 90th percentile is $55.10 per claim, 3.3× the median.
Total Paid
$912K
0.00% of all spending
Total Claims
69K
Providers
637
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 91321? Based on 366 providers billing this code nationally.
Median
$16.72
Average
$24.49
Std Dev
$29.94
Max
$159.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.17 and $30.96 per claim for this code.
90% bill between $0.01 and $55.10.
Top 1% bill above $145.92.
About This Procedure
HCPCS code 91321 was billed by 637 providers across 69K claims, totaling $912K in Medicaid payments from 2018–2024. This code was used for 62K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.72
Providers Billing
366
National Spending
$912K
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 91321
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $82K |
| 2 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $40K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $33K |
| 4 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $32K |
| 5 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $24K |
| 6 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $22K |
| 7 | 1588635171 | $19K |
| 8 | 1407973043 | $18K |
| 9 | 1013950807 | $18K |
| 10 | 1730695305 | $16K |
| 11 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $16K |
| 12 | 1003861188 | $15K |
| 13 | 1750443503 | $14K |
| 14 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $14K |
| 15 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $14K |
| 16 | 1144869694 | $13K |
| 17 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $13K |
| 18 | 1700809027 | $13K |
| 19 | 1265629133 | $12K |
| 20 | 1285853135 | $12K |
Showing top 20 of 637 providers billing this code