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#459 of 11K

93975

Duplex scan of arterial inflow and venous outflow, complete

Duplex scan of arterial inflow and venous outflow, complete is the #459 most-billed Medicaid procedure code, with $209.7M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $79.28. Costs vary widely — the 90th percentile is $230.35 per claim, 2.9× the median.

Total Paid

$209.7M

0.02% of all spending

Total Claims

1.7M

Providers

2K

Avg Cost/Claim

$121

National Cost Distribution

How much do providers bill per claim for 93975? Based on 2K providers billing this code nationally.

Median

$79.28

Average

$112.55

Std Dev

$97.83

Max

$733.30

Percentile Distribution (Cost per Claim)

p10
$28.57
p25
$40.85
Median
$79.28
p75
$160.47
p90
$230.35
p95
$294.22
p99
$467.57

50% of providers bill between $40.85 and $160.47 per claim for this code.

90% bill between $28.57 and $230.35.

Top 1% bill above $467.57.

About This Procedure

HCPCS code 93975 (Duplex scan of arterial inflow and venous outflow, complete) was billed by 2K providers across 1.7M claims, totaling $209.7M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.28

Providers Billing

2K

National Spending

$209.7M

Avg/Median Ratio

1.42×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93975

#ProviderTotal Paid
11619977030$5.0M
2Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$3.7M
3New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$3.4M
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$3.2M
5Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$3.2M
6Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$2.6M
71255983730$2.5M
81861439952$2.4M
9Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$2.3M
10Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$2.3M
111831495712$2.0M
121972004489$2.0M
131245221050$1.9M
141851702971$1.8M
15Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.7M
161902865355$1.5M
17Samaritan Hospital Of Troy, New York

Troy, NY

$1.5M
181073519443$1.5M
19Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$1.5M
201972523348$1.5M

Showing top 20 of 2K providers billing this code