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#7030 of 11K

93980

HCPCS Procedure Code

HCPCS code 93980 is the #7,030 most-billed Medicaid procedure code, with $31K in payments across 1K claims from 2018–2024. The national median cost per claim is $42.95. Costs vary widely — the 90th percentile is $120.02 per claim, 2.8× the median.

Total Paid

$31K

0.00% of all spending

Total Claims

1K

Providers

9

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 93980? Based on 8 providers billing this code nationally.

Median

$42.95

Average

$59.12

Std Dev

$44.56

Max

$131.59

Percentile Distribution (Cost per Claim)

p10
$20.41
p25
$26.72
Median
$42.95
p75
$85.32
p90
$120.02
p95
$125.81
p99
$130.44

50% of providers bill between $26.72 and $85.32 per claim for this code.

90% bill between $20.41 and $120.02.

Top 1% bill above $130.44.

About This Procedure

HCPCS code 93980 was billed by 9 providers across 1K claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.95

Providers Billing

8

National Spending

$31K

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93980

#ProviderTotal Paid
11982017760$17K
21710261615$4K
31518974328$4K
41871531772$2K
51154430148$2K
61588611685$1K
71144738543$905
81285826669$502
91295921518$0

Showing top 9 of 9 providers billing this code