94726
HCPCS Procedure Code
HCPCS code 94726 is the #1,162 most-billed Medicaid procedure code, with $36.2M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $13.41. Costs vary widely — the 90th percentile is $58.35 per claim, 4.4× the median.
Total Paid
$36.2M
0.00% of all spending
Total Claims
1.3M
Providers
2,597
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 94726? Based on 2,522 providers billing this code nationally.
Median
$13.41
Average
$25.28
Std Dev
$31.53
Max
$416.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.72 and $33.04 per claim for this code.
90% bill between $4.24 and $58.35.
Top 1% bill above $144.67.
About This Procedure
HCPCS code 94726 was billed by 2,597 providers across 1.3M claims, totaling $36.2M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.41
Providers Billing
2,522
National Spending
$36.2M
Avg/Median Ratio
1.89×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 94726
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $589K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $501K |
| 3 | 1780635078 | $380K |
| 4 | 1851352678 | $357K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $335K |
| 6 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $331K |
| 7 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $298K |
| 8 | Saint Mary's Hospital, Inc. Waterbury, CT · General Acute Care Hospital | $287K |
| 9 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $279K |
| 10 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $263K |
| 11 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $255K |
| 12 | Stamford Hospital Stamford, CT · Hospitalist | $253K |
| 13 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $253K |
| 14 | 1033244348 | $247K |
| 15 | New York University Boynton Beach, FL · Anesthesiology | $234K |
| 16 | 1639172372 | $233K |
| 17 | 1629511886 | $233K |
| 18 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $223K |
| 19 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $210K |
| 20 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $202K |
Showing top 20 of 2,597 providers billing this code