#2650 of 11K

93990

HCPCS Procedure Code

HCPCS code 93990 is the #2,650 most-billed Medicaid procedure code, with $4.4M in payments across 115K claims from 2018–2024. The national median cost per claim is $29.24. Costs vary widely — the 90th percentile is $75.24 per claim, 2.6× the median.

Total Paid

$4.4M

0.00% of all spending

Total Claims

115K

Providers

257

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for 93990? Based on 247 providers billing this code nationally.

Median

$29.24

Average

$38.39

Std Dev

$37.95

Max

$336.76

Percentile Distribution (Cost per Claim)

p10

$5.34

p25

$14.22

Median

$29.24

p75

$52.99

p90

$75.24

p95

$90.52

p99

$180.00

50% of providers bill between $14.22 and $52.99 per claim for this code.

90% bill between $5.34 and $75.24.

Top 1% bill above $180.00.

About This Procedure

HCPCS code 93990 was billed by 257 providers across 115K claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 101K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.24

Providers Billing

247

National Spending

$4.4M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 93990

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316902208	$889K	$79.43	2.7× median	Top 10%
2	1154401941	$321K	$60.94	2.1× median	Above 75th
3	1174928329	$173K	$52.59	1.8× median	Above Median
4	1679505085	$125K	$54.98	1.9× median	Above 75th
5	1033318175	$123K	$14.93	0.5× median	Below Median
6	1396725677	$113K	$158.08	5.4× median	Top 10%
7	1316982879	$102K	$55.81	1.9× median	Above 75th
8	1972790863	$100K	$69.09	2.4× median	Above 75th
9	1952320061	$96K	$44.15	1.5× median	Above Median
10	1407326606	$93K	$58.26	2.0× median	Above 75th
11	1659335941	$91K	$38.02	1.3× median	Above Median
12	1356726418	$80K	$39.24	1.3× median	Above Median
13	Stanford Health Care Stanford, CA · General Acute Care Hospital	$80K	$169.77	5.8× median	Top 10%
14	1134169568	$80K	$32.88	1.1× median	Above Median
15	1073772588	$73K	$56.36	1.9× median	Above 75th
16	1275508954	$62K	$24.93	0.9× median	Below Median
17	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$61K	$38.54	1.3× median	Above Median
18	1063577054	$60K	$54.49	1.9× median	Above 75th
19	1942246111	$60K	$40.10	1.4× median	Above Median
20	1710959150	$58K	$47.63	1.6× median	Above Median

Showing top 20 of 257 providers billing this code

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