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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $436K |
| 2 | 1316010952 | $292K |
| 3 | 1245562826 | $181K |
| 4 | 1922185370 | $143K |
| 5 | 1659342061 | $101K |
| 6 | 1528033263 | $99K |
| 7 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $92K |
| 8 | 1518309186 | $41K |
| 9 | 1316976111 | $38K |
| 10 | 1538362504 | $37K |
| 11 | 1548333552 | $24K |
| 12 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $23K |
| 13 | 1043278351 | $15K |
| 14 | 1033132857 | $14K |
| 15 | 1609886183 | $11K |
| 16 | 1740555754 | $9K |
| 17 | 1306273768 | $8K |
| 18 | 1538101258 | $7K |
| 19 | 1659311132 | $6K |
| 20 | 1376764167 | $5K |
Showing top 20 of 70 providers billing this code