94760
Pulse oximetry, single reading, noninvasive
Pulse oximetry, single reading, noninvasive is the #1,050 most-billed Medicaid procedure code, with $45.8M in payments across 13.2M claims from 2018–2024. The national median cost per claim is $0.79. Costs vary widely — the 90th percentile is $5.32 per claim, 6.7× the median.
Total Paid
$45.8M
0.00% of all spending
Total Claims
13.2M
Providers
7K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 94760? Based on 5K providers billing this code nationally.
Median
$0.79
Average
$3.11
Std Dev
$21.07
Max
$1,407.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.16 and $2.15 per claim for this code.
90% bill between $0.03 and $5.32.
Top 1% bill above $44.27.
About This Procedure
HCPCS code 94760 (Pulse oximetry, single reading, noninvasive) was billed by 7K providers across 13.2M claims, totaling $45.8M in Medicaid payments from 2018–2024. This code was used for 10.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.79
Providers Billing
5K
National Spending
$45.8M
Avg/Median Ratio
3.94×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 94760
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184186496 | $6.0M |
| 2 | 1811006661 | $3.2M |
| 3 | 1144203498 | $3.1M |
| 4 | 1720177066 | $3.1M |
| 5 | 1437605532 | $2.4M |
| 6 | The Health And Hospital Corporation Of Marion County Indianapolis, IN · Psychiatric Unit | $2.1M |
| 7 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $1.7M |
| 8 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $1.5M |
| 9 | 1609275205 | $1.5M |
| 10 | 1851846661 | $1.1M |
| 11 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $728K |
| 12 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $585K |
| 13 | 1497944193 | $474K |
| 14 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $466K |
| 15 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $392K |
| 16 | 1639135221 | $292K |
| 17 | 1962680033 | $259K |
| 18 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $253K |
| 19 | 1831269539 | $252K |
| 20 | Summa Health System Akron, OH · General Acute Care Hospital | $251K |
Showing top 20 of 7K providers billing this code