#3065 of 11K

94150

HCPCS Procedure Code

HCPCS code 94150 is the #3,065 most-billed Medicaid procedure code, with $2.6M in payments across 275K claims from 2018–2024. The national median cost per claim is $5.06. Costs vary widely — the 90th percentile is $17.37 per claim, 3.4× the median.

Total Paid

$2.6M

0.00% of all spending

Total Claims

275K

Providers

291

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 94150? Based on 223 providers billing this code nationally.

Median

$5.06

Average

$8.70

Std Dev

$14.63

Max

$116.04

Percentile Distribution (Cost per Claim)

p10

$0.26

p25

$1.12

Median

$5.06

p75

$11.55

p90

$17.37

p95

$24.96

p99

$95.62

50% of providers bill between $1.12 and $11.55 per claim for this code.

90% bill between $0.26 and $17.37.

Top 1% bill above $95.62.

About This Procedure

HCPCS code 94150 was billed by 291 providers across 275K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 154K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.06

Providers Billing

223

National Spending

$2.6M

Avg/Median Ratio

1.72×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 94150

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1619037975	$749K	$27.48	5.4× median	Top 10%
2	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$432K	$109.47	21.6× median	Top 1%
3	1265473730	$219K	$4.50	0.9× median	Below Median
4	1073518007	$97K	$52.03	10.3× median	Top 10%
5	1528426053	$92K	$2.60	0.5× median	Below Median
6	1265422596	$89K	$9.85	1.9× median	Above Median
7	1316275514	$83K	$20.45	4.0× median	Top 10%
8	1295211126	$70K	$14.18	2.8× median	Above 75th
9	1639371586	$57K	$12.08	2.4× median	Above 75th
10	1023721065	$56K	$11.30	2.2× median	Above Median
11	1427536325	$54K	$107.92	21.3× median	Top 1%
12	1437668985	$47K	$16.38	3.2× median	Above 75th
13	1932297298	$42K	$11.85	2.3× median	Above 75th
14	1689603748	$31K	$13.04	2.6× median	Above 75th
15	1700312774	$31K	$3.52	0.7× median	Below Median
16	1942367644	$28K	$5.40	1.1× median	Above Median
17	1164456406	$24K	$11.08	2.2× median	Above Median
18	1821349317	$22K	$10.34	2.0× median	Above Median
19	1588389944	$21K	$13.38	2.6× median	Above 75th
20	1356403042	$20K	$3.87	0.8× median	Below Median

Showing top 20 of 291 providers billing this code

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