93931
HCPCS Procedure Code
HCPCS code 93931 is the #3,932 most-billed Medicaid procedure code, with $1.0M in payments across 22K claims from 2018–2024. The national median cost per claim is $27.11. Costs vary widely — the 90th percentile is $78.86 per claim, 2.9× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
22K
Providers
62
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 93931? Based on 59 providers billing this code nationally.
Median
$27.11
Average
$39.56
Std Dev
$30.75
Max
$129.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.79 and $62.77 per claim for this code.
90% bill between $9.35 and $78.86.
Top 1% bill above $122.34.
About This Procedure
HCPCS code 93931 was billed by 62 providers across 22K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.11
Providers Billing
59
National Spending
$1.0M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 93931
| # | Provider | Total Paid |
|---|---|---|
| 1 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $141K |
| 2 | 1649767013 | $109K |
| 3 | 1710194501 | $106K |
| 4 | 1699714717 | $79K |
| 5 | 1477725208 | $76K |
| 6 | 1386776797 | $60K |
| 7 | 1750896221 | $56K |
| 8 | 1376730358 | $45K |
| 9 | 1891719902 | $44K |
| 10 | 1952471013 | $40K |
| 11 | 1295802098 | $38K |
| 12 | 1033192893 | $34K |
| 13 | 1144411745 | $28K |
| 14 | 1639194921 | $22K |
| 15 | 1639481583 | $16K |
| 16 | 1306061890 | $15K |
| 17 | 1457619017 | $10K |
| 18 | 1730813510 | $9K |
| 19 | 1033165774 | $8K |
| 20 | 1760407068 | $7K |
Showing top 20 of 62 providers billing this code