94626
HCPCS Procedure Code
HCPCS code 94626 is the #5,120 most-billed Medicaid procedure code, with $285K in payments across 3,267 claims from 2018–2024. The national median cost per claim is $30.07. Costs vary widely — the 90th percentile is $105.97 per claim, 3.5× the median.
Total Paid
$285K
0.00% of all spending
Total Claims
3,267
Providers
7
Avg Cost/Claim
$87
National Cost Distribution
How much do providers bill per claim for 94626? Based on 7 providers billing this code nationally.
Median
$30.07
Average
$44.02
Std Dev
$45.99
Max
$112.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.88 and $74.45 per claim for this code.
90% bill between $3.68 and $105.97.
Top 1% bill above $111.92.
About This Procedure
HCPCS code 94626 was billed by 7 providers across 3,267 claims, totaling $285K in Medicaid payments from 2018–2024. This code was used for 592 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.07
Providers Billing
7
National Spending
$285K
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 94626
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336553171 | $244K |
| 2 | 1275944027 | $33K |
| 3 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $6K |
| 4 | 1477569838 | $812 |
| 5 | 1447571658 | $758 |
| 6 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $543 |
| 7 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $465 |
Showing top 7 of 7 providers billing this code