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#1218 of 11K

27096

HCPCS Procedure Code

HCPCS code 27096 is the #1,218 most-billed Medicaid procedure code, with $33.0M in payments across 234K claims from 2018–2024. The national median cost per claim is $89.16. Costs vary widely — the 90th percentile is $279.15 per claim, 3.1× the median.

Total Paid

$33.0M

0.00% of all spending

Total Claims

234K

Providers

655

Avg Cost/Claim

$141

National Cost Distribution

How much do providers bill per claim for 27096? Based on 646 providers billing this code nationally.

Median

$89.16

Average

$136.93

Std Dev

$159.95

Max

$1,964.67

Percentile Distribution (Cost per Claim)

p10
$34.44
p25
$56.30
Median
$89.16
p75
$158.86
p90
$279.15
p95
$415.67
p99
$658.79

50% of providers bill between $56.30 and $158.86 per claim for this code.

90% bill between $34.44 and $279.15.

Top 1% bill above $658.79.

About This Procedure

HCPCS code 27096 was billed by 655 providers across 234K claims, totaling $33.0M in Medicaid payments from 2018–2024. This code was used for 184K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.16

Providers Billing

646

National Spending

$33.0M

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 27096

#ProviderTotal Paid
11720282585$5.8M
21306047105$1.5M
31306280177$1.2M
41386190734$891K
51285635698$872K
61891000550$681K
71548403744$567K
81003058637$556K
91467418574$485K
101447204110$444K
111457306888$408K
121740228469$400K
131144526773$381K
141568446755$356K
151235772054$349K
161285007989$339K
171013103019$332K
181801826912$323K
191548211931$290K
201376692657$279K

Showing top 20 of 655 providers billing this code

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