#632 of 11K

94060

HCPCS Procedure Code

HCPCS code 94060 is the #632 most-billed Medicaid procedure code, with $119.7M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $25.18. Costs vary widely — the 90th percentile is $89.74 per claim, 3.6× the median.

Total Paid

$119.7M

0.01% of all spending

Total Claims

2.6M

Providers

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for 94060? Based on 4K providers billing this code nationally.

Median

$25.18

Average

$40.90

Std Dev

$66.39

Max

$1,457.48

Percentile Distribution (Cost per Claim)

p10

$6.47

p25

$10.76

Median

$25.18

p75

$42.54

p90

$89.74

p95

$138.18

p99

$268.26

50% of providers bill between $10.76 and $42.54 per claim for this code.

90% bill between $6.47 and $89.74.

Top 1% bill above $268.26.

About This Procedure

HCPCS code 94060 was billed by 4K providers across 2.6M claims, totaling $119.7M in Medicaid payments from 2018–2024. This code was used for 2.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.18

Providers Billing

National Spending

$119.7M

Avg/Median Ratio

1.62×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 94060

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$4.0M	$370.66	14.7× median	Top 1%
2	Hmh Hospitals Corporation Hackensack, NJ · Ambulance	$1.7M	$511.75	20.3× median	Top 1%
3	1346697471	$1.6M	$1,261.53	50.1× median	Top 1%
4	Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital	$1.6M	$258.75	10.3× median	Top 10%
5	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$1.2M	$194.25	7.7× median	Top 10%
6	University Of Kentucky Lexington, KY · General Acute Care Hospital	$1.1M	$192.60	7.6× median	Top 10%
7	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$1.0M	$52.20	2.1× median	Above 75th
8	1265423917	$991K	$247.75	9.8× median	Top 10%
9	1417919531	$983K	$381.50	15.2× median	Top 1%
10	1386606911	$839K	$30.00	1.2× median	Above Median
11	1407064470	$781K	$42.57	1.7× median	Above 75th
12	Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital	$761K	$354.59	14.1× median	Top 1%
13	1851352678	$748K	$38.30	1.5× median	Above Median
14	Texas Children's Hospital Houston, TX · General Acute Care Hospital Children	$718K	$298.56	11.9× median	Top 1%
15	1871526459	$702K	$27.50	1.1× median	Above Median
16	Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital	$694K	$321.82	12.8× median	Top 1%
17	The Cooper Health System Camden, NJ · General Acute Care Hospital	$692K	$267.36	10.6× median	Top 10%
18	Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children	$686K	$274.86	10.9× median	Top 1%
19	1548538200	$657K	$25.86	1.0× median	Above Median
20	Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital	$628K	$159.51	6.3× median	Top 10%

Showing top 20 of 4K providers billing this code

Related Procedures

94070$1.6M

← All procedures Top providers →