93016
HCPCS Procedure Code
HCPCS code 93016 is the #2,268 most-billed Medicaid procedure code, with $7.2M in payments across 602K claims from 2018–2024. The national median cost per claim is $12.24.
Total Paid
$7.2M
0.00% of all spending
Total Claims
602K
Providers
1K
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 93016? Based on 1K providers billing this code nationally.
Median
$12.24
Average
$12.81
Std Dev
$6.40
Max
$74.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.69 and $15.98 per claim for this code.
90% bill between $5.68 and $19.68.
Top 1% bill above $33.71.
About This Procedure
HCPCS code 93016 was billed by 1K providers across 602K claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 566K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.24
Providers Billing
1K
National Spending
$7.2M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 93016
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952681918 | $126K |
| 2 | 1487912416 | $125K |
| 3 | 1982689113 | $108K |
| 4 | 1689614562 | $107K |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $100K |
| 6 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $94K |
| 7 | 1457833485 | $83K |
| 8 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $77K |
| 9 | The Metrohealth System Cleveland, OH · Anesthesiology | $73K |
| 10 | 1891729141 | $65K |
| 11 | 1477803385 | $62K |
| 12 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $62K |
| 13 | New York University Boynton Beach, FL · Anesthesiology | $61K |
| 14 | Montefiore Medical Center Bronx, NY · Anesthesiology | $61K |
| 15 | 1801874573 | $57K |
| 16 | 1659684223 | $57K |
| 17 | 1982787487 | $54K |
| 18 | 1194958223 | $53K |
| 19 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $49K |
| 20 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $49K |
Showing top 20 of 1K providers billing this code