#3542 of 11K

93312

HCPCS Procedure Code

HCPCS code 93312 is the #3,542 most-billed Medicaid procedure code, with $1.5M in payments across 18K claims from 2018–2024. The national median cost per claim is $61.90. Costs vary widely — the 90th percentile is $187.60 per claim, 3.0× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

18K

Providers

137

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for 93312? Based on 130 providers billing this code nationally.

Median

$61.90

Average

$101.49

Std Dev

$108.29

Max

$770.01

Percentile Distribution (Cost per Claim)

p10

$29.35

p25

$51.06

Median

$61.90

p75

$108.87

p90

$187.60

p95

$290.61

p99

$529.91

50% of providers bill between $51.06 and $108.87 per claim for this code.

90% bill between $29.35 and $187.60.

Top 1% bill above $529.91.

About This Procedure

HCPCS code 93312 was billed by 137 providers across 18K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.90

Providers Billing

130

National Spending

$1.5M

Avg/Median Ratio

1.64×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93312

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital	$181K	$770.01	12.4× median	Top 1%
2	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$87K	$51.32	0.8× median	Below Median
3	1982787487	$85K	$59.13	1.0× median	Below Median
4	1639172372	$79K	$67.85	1.1× median	Above Median
5	1023171501	$61K	$128.60	2.1× median	Above 75th
6	Dignity Health Phoenix, AZ · Rehabilitation Unit	$59K	$159.15	2.6× median	Above 75th
7	Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital	$56K	$209.41	3.4× median	Top 10%
8	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$56K	$69.88	1.1× median	Above Median
9	Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital	$51K	$106.58	1.7× median	Above Median
10	1093767766	$50K	$56.23	0.9× median	Below Median
11	1598875460	$46K	$119.55	1.9× median	Above 75th
12	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$42K	$104.38	1.7× median	Above Median
13	1952331936	$41K	$57.18	0.9× median	Below Median
14	1487072633	$33K	$57.33	0.9× median	Below Median
15	1124248752	$32K	$69.99	1.1× median	Above Median
16	1467487983	$30K	$77.58	1.3× median	Above Median
17	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$27K	$169.50	2.7× median	Above 75th
18	1417902925	$26K	$72.10	1.2× median	Above Median
19	1750613329	$26K	$85.34	1.4× median	Above Median
20	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$23K	$82.59	1.3× median	Above Median

Showing top 20 of 137 providers billing this code

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