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#1827 of 11K

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)

p10
$10.68
p25
$16.54
Median
$34.59
p75
$65.46
p90
$115.35
p95
$166.07
p99
$306.97

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

#ProviderTotal Paid
1Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$572K
2Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$537K
3University Of Kentucky

Lexington, KY · General Acute Care Hospital

$427K
4Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$396K
5Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$361K
6Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$355K
7Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$284K
8Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$255K
9Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$255K
10Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$246K
111740233899$234K
12Rochester General Hospital

Rochester, NY · Dentist, General Practice

$227K
13Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$218K
141407887003$206K
15State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$189K
161043279565$185K
171043204316$178K
18Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$174K
19St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$168K
20Children's Hospital Corporation

Boston, MA · Clinic/Center

$160K

Showing top 20 of 605 providers billing this code