93226
HCPCS Procedure Code
HCPCS code 93226 is the #1,784 most-billed Medicaid procedure code, with $14.0M in payments across 379K claims from 2018–2024. The national median cost per claim is $38.71. Costs vary widely — the 90th percentile is $132.26 per claim, 3.4× the median.
Total Paid
$14.0M
0.00% of all spending
Total Claims
379K
Providers
428
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 93226? Based on 399 providers billing this code nationally.
Median
$38.71
Average
$60.36
Std Dev
$78.89
Max
$834.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.83 and $65.25 per claim for this code.
90% bill between $7.84 and $132.26.
Top 1% bill above $400.59.
About This Procedure
HCPCS code 93226 was billed by 428 providers across 379K claims, totaling $14.0M in Medicaid payments from 2018–2024. This code was used for 353K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.71
Providers Billing
399
National Spending
$14.0M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 93226
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790869402 | $1.5M |
| 2 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $817K |
| 3 | 1063414258 | $667K |
| 4 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $591K |
| 5 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $577K |
| 6 | 1255367843 | $538K |
| 7 | 1710130539 | $398K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $366K |
| 9 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $308K |
| 10 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $296K |
| 11 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $241K |
| 12 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $222K |
| 13 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $222K |
| 14 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $212K |
| 15 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $210K |
| 16 | 1043279565 | $201K |
| 17 | The Milton S Hershey Medical Center Hershey, PA · General Acute Care Hospital | $197K |
| 18 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $183K |
| 19 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $158K |
| 20 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $153K |
Showing top 20 of 428 providers billing this code