93451
HCPCS Procedure Code
HCPCS code 93451 is the #2,501 most-billed Medicaid procedure code, with $5.3M in payments across 8K claims from 2018–2024. The national median cost per claim is $376.24. Costs vary widely — the 90th percentile is $1,612.51 per claim, 4.3× the median.
Total Paid
$5.3M
0.00% of all spending
Total Claims
8K
Providers
40
Avg Cost/Claim
$681
National Cost Distribution
How much do providers bill per claim for 93451? Based on 39 providers billing this code nationally.
Median
$376.24
Average
$699.87
Std Dev
$696.67
Max
$2,388.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $66.64 and $1,376.03 per claim for this code.
90% bill between $49.39 and $1,612.51.
Top 1% bill above $2,237.79.
About This Procedure
HCPCS code 93451 was billed by 40 providers across 8K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$376.24
Providers Billing
39
National Spending
$5.3M
Avg/Median Ratio
1.86×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 93451
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Washington Seattle, WA · Clinic/Center, Dental | $2.0M |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $407K |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $377K |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $339K |
| 5 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $311K |
| 6 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $284K |
| 7 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $243K |
| 8 | 1023171501 | $160K |
| 9 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $138K |
| 10 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $124K |
| 11 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $122K |
| 12 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $114K |
| 13 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $97K |
| 14 | 1437119310 | $86K |
| 15 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $80K |
| 16 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $79K |
| 17 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $50K |
| 18 | 1982787487 | $49K |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $46K |
| 20 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $44K |
Showing top 20 of 40 providers billing this code