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#2537 of 11K

93297

HCPCS Procedure Code

HCPCS code 93297 is the #2,537 most-billed Medicaid procedure code, with $5.1M in payments across 522K claims from 2018–2024. The national median cost per claim is $8.99. Costs vary widely — the 90th percentile is $18.96 per claim, 2.1× the median.

Total Paid

$5.1M

0.00% of all spending

Total Claims

522K

Providers

675

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 93297? Based on 662 providers billing this code nationally.

Median

$8.99

Average

$10.43

Std Dev

$9.02

Max

$139.10

Percentile Distribution (Cost per Claim)

p10
$2.88
p25
$5.53
Median
$8.99
p75
$13.00
p90
$18.96
p95
$22.91
p99
$34.89

50% of providers bill between $5.53 and $13.00 per claim for this code.

90% bill between $2.88 and $18.96.

Top 1% bill above $34.89.

About This Procedure

HCPCS code 93297 was billed by 675 providers across 522K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 484K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.99

Providers Billing

662

National Spending

$5.1M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93297

#ProviderTotal Paid
1Montefiore Medical Center

Bronx, NY · Anesthesiology

$183K
2Community Physicians Of Indiana Inc

Indianapolis, IN · Internal Medicine

$122K
31952819633$109K
41093767063$85K
51083045090$83K
61659387934$79K
71376641449$76K
81730137480$74K
91386682094$63K
101902064421$61K
11Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$57K
121356663736$57K
131689623175$57K
141780857540$57K
151497901458$56K
161467614677$56K
171578532123$55K
181487678165$55K
191477732899$52K
201649228966$51K

Showing top 20 of 675 providers billing this code