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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720282585 | $5.8M |
| 2 | 1306047105 | $1.5M |
| 3 | 1306280177 | $1.2M |
| 4 | 1386190734 | $891K |
| 5 | 1285635698 | $872K |
| 6 | 1891000550 | $681K |
| 7 | 1548403744 | $567K |
| 8 | 1003058637 | $556K |
| 9 | 1467418574 | $485K |
| 10 | 1447204110 | $444K |
| 11 | 1457306888 | $408K |
| 12 | 1740228469 | $400K |
| 13 | 1144526773 | $381K |
| 14 | 1568446755 | $356K |
| 15 | 1235772054 | $349K |
| 16 | 1285007989 | $339K |
| 17 | 1013103019 | $332K |
| 18 | 1801826912 | $323K |
| 19 | 1548211931 | $290K |
| 20 | 1376692657 | $279K |
Showing top 20 of 655 providers billing this code