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#2834 of 11K

94621

HCPCS Procedure Code

HCPCS code 94621 is the #2,834 most-billed Medicaid procedure code, with $3.4M in payments across 36K claims from 2018–2024. The national median cost per claim is $91.58. Costs vary widely — the 90th percentile is $199.28 per claim, 2.2× the median.

Total Paid

$3.4M

0.00% of all spending

Total Claims

36K

Providers

127

Avg Cost/Claim

$95

National Cost Distribution

How much do providers bill per claim for 94621? Based on 124 providers billing this code nationally.

Median

$91.58

Average

$111.52

Std Dev

$116.53

Max

$1,051.11

Percentile Distribution (Cost per Claim)

p10
$29.13
p25
$48.62
Median
$91.58
p75
$129.70
p90
$199.28
p95
$299.92
p99
$420.66

50% of providers bill between $48.62 and $129.70 per claim for this code.

90% bill between $29.13 and $199.28.

Top 1% bill above $420.66.

About This Procedure

HCPCS code 94621 was billed by 127 providers across 36K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$91.58

Providers Billing

124

National Spending

$3.4M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94621

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$366K
21184766107$320K
3Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$200K
41245351014$197K
51477694859$140K
61932119898$136K
7Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$114K
8Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$107K
91386091486$104K
101083658918$94K
11Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$85K
12The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$84K
13The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$82K
14Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$79K
15Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$69K
161528192515$67K
171477765469$62K
18Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$56K
19University Physicians Incorporated

Aurora, CO · Anesthesiology

$56K
201891008215$53K

Showing top 20 of 127 providers billing this code