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#3497 of 11K

94667

HCPCS Procedure Code

HCPCS code 94667 is the #3,497 most-billed Medicaid procedure code, with $1.6M in payments across 101K claims from 2018–2024. The national median cost per claim is $13.51.

Total Paid

$1.6M

0.00% of all spending

Total Claims

101K

Providers

113

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 94667? Based on 100 providers billing this code nationally.

Median

$13.51

Average

$15.91

Std Dev

$20.50

Max

$149.96

Percentile Distribution (Cost per Claim)

p10
$1.48
p25
$5.70
Median
$13.51
p75
$19.88
p90
$22.69
p95
$30.35
p99
$130.97

50% of providers bill between $5.70 and $19.88 per claim for this code.

90% bill between $1.48 and $22.69.

Top 1% bill above $130.97.

About This Procedure

HCPCS code 94667 was billed by 113 providers across 101K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.51

Providers Billing

100

National Spending

$1.6M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94667

#ProviderTotal Paid
11447650486$644K
21407064470$262K
31215174958$230K
41053563304$34K
5Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$33K
61104141837$32K
7Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$30K
8Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$24K
91942348370$22K
101427018118$21K
111447508064$20K
121972768968$20K
131891798104$14K
14Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$13K
15Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$13K
161427140615$12K
171407946288$11K
181053410639$10K
191164482147$9K
201699014365$8K

Showing top 20 of 113 providers billing this code