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#2108 of 11K

94618

HCPCS Procedure Code

HCPCS code 94618 is the #2,108 most-billed Medicaid procedure code, with $8.9M in payments across 308K claims from 2018–2024. The national median cost per claim is $14.59. Costs vary widely — the 90th percentile is $49.50 per claim, 3.4× the median.

Total Paid

$8.9M

0.00% of all spending

Total Claims

308K

Providers

740

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 94618? Based on 728 providers billing this code nationally.

Median

$14.59

Average

$23.87

Std Dev

$31.99

Max

$352.09

Percentile Distribution (Cost per Claim)

p10
$5.12
p25
$9.63
Median
$14.59
p75
$23.39
p90
$49.50
p95
$81.91
p99
$178.64

50% of providers bill between $9.63 and $23.39 per claim for this code.

90% bill between $5.12 and $49.50.

Top 1% bill above $178.64.

About This Procedure

HCPCS code 94618 was billed by 740 providers across 308K claims, totaling $8.9M in Medicaid payments from 2018–2024. This code was used for 258K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.59

Providers Billing

728

National Spending

$8.9M

Avg/Median Ratio

1.64×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 94618

#ProviderTotal Paid
11447650486$711K
2Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$484K
3Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$391K
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$293K
51821398538$288K
6The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$260K
7University Of Washington

Seattle, WA · Clinic/Center, Dental

$217K
8Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$190K
9University Of Kentucky

Lexington, KY · General Acute Care Hospital

$189K
10The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$168K
111992746903$161K
12Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$139K
13Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$130K
141871606269$127K
151033244348$117K
161306244496$107K
17The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$106K
181083658918$101K
19Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$100K
201417919531$98K

Showing top 20 of 740 providers billing this code