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#3482 of 11K

94728

HCPCS Procedure Code

HCPCS code 94728 is the #3,482 most-billed Medicaid procedure code, with $1.6M in payments across 61K claims from 2018–2024. The national median cost per claim is $15.32. Costs vary widely — the 90th percentile is $40.82 per claim, 2.7× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

61K

Providers

70

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 94728? Based on 59 providers billing this code nationally.

Median

$15.32

Average

$26.97

Std Dev

$43.39

Max

$248.31

Percentile Distribution (Cost per Claim)

p10
$1.38
p25
$6.03
Median
$15.32
p75
$31.15
p90
$40.82
p95
$88.79
p99
$228.36

50% of providers bill between $6.03 and $31.15 per claim for this code.

90% bill between $1.38 and $40.82.

Top 1% bill above $228.36.

About This Procedure

HCPCS code 94728 was billed by 70 providers across 61K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 56K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.32

Providers Billing

59

National Spending

$1.6M

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 94728

#ProviderTotal Paid
1State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$436K
21316010952$292K
31245562826$181K
41922185370$143K
51659342061$101K
61528033263$99K
7Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$92K
81518309186$41K
91316976111$38K
101538362504$37K
111548333552$24K
12Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$23K
131043278351$15K
141033132857$14K
151609886183$11K
161740555754$9K
171306273768$8K
181538101258$7K
191659311132$6K
201376764167$5K

Showing top 20 of 70 providers billing this code