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#1319 of 11K

93923

HCPCS Procedure Code

HCPCS code 93923 is the #1,319 most-billed Medicaid procedure code, with $27.7M in payments across 535K claims from 2018–2024. The national median cost per claim is $38.08. Costs vary widely — the 90th percentile is $104.88 per claim, 2.8× the median.

Total Paid

$27.7M

0.00% of all spending

Total Claims

535K

Providers

2K

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for 93923? Based on 2K providers billing this code nationally.

Median

$38.08

Average

$49.29

Std Dev

$43.32

Max

$527.83

Percentile Distribution (Cost per Claim)

p10
$7.29
p25
$16.84
Median
$38.08
p75
$70.99
p90
$104.88
p95
$123.37
p99
$184.88

50% of providers bill between $16.84 and $70.99 per claim for this code.

90% bill between $7.29 and $104.88.

Top 1% bill above $184.88.

About This Procedure

HCPCS code 93923 was billed by 2K providers across 535K claims, totaling $27.7M in Medicaid payments from 2018–2024. This code was used for 467K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.08

Providers Billing

2K

National Spending

$27.7M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93923

#ProviderTotal Paid
11508297854$1.1M
21326360082$579K
31811214489$505K
41366418709$435K
5New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$424K
61174793392$404K
71184766107$381K
81326368630$365K
91174554992$359K
101104254572$345K
111811153695$320K
121417904434$319K
131972790863$282K
141568803047$282K
151386091486$258K
161225380603$253K
17The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$240K
181578949889$237K
19Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$222K
201134169568$211K

Showing top 20 of 2K providers billing this code