93225
HCPCS Procedure Code
HCPCS code 93225 is the #1,827 most-billed Medicaid procedure code, with $13.2M in payments across 222K claims from 2018–2024. The national median cost per claim is $34.59. Costs vary widely — the 90th percentile is $115.35 per claim, 3.3× the median.
Total Paid
$13.2M
0.00% of all spending
Total Claims
222K
Providers
605
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for 93225? Based on 592 providers billing this code nationally.
Median
$34.59
Average
$53.99
Std Dev
$64.41
Max
$658.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.54 and $65.46 per claim for this code.
90% bill between $10.68 and $115.35.
Top 1% bill above $306.97.
About This Procedure
HCPCS code 93225 was billed by 605 providers across 222K claims, totaling $13.2M in Medicaid payments from 2018–2024. This code was used for 208K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.59
Providers Billing
592
National Spending
$13.2M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 93225
| # | Provider | Total Paid |
|---|---|---|
| 1 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $572K |
| 2 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $537K |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $427K |
| 4 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $396K |
| 5 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $361K |
| 6 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $355K |
| 7 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $284K |
| 8 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $255K |
| 9 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $255K |
| 10 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $246K |
| 11 | 1740233899 | $234K |
| 12 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $227K |
| 13 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $218K |
| 14 | 1407887003 | $206K |
| 15 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $189K |
| 16 | 1043279565 | $185K |
| 17 | 1043204316 | $178K |
| 18 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $174K |
| 19 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $168K |
| 20 | Children's Hospital Corporation Boston, MA · Clinic/Center | $160K |
Showing top 20 of 605 providers billing this code