94781
HCPCS Procedure Code
HCPCS code 94781 is the #8,913 most-billed Medicaid procedure code, with $807 in payments across 140 claims from 2018–2024. The national median cost per claim is $4.19. Costs vary widely — the 90th percentile is $10.49 per claim, 2.5× the median.
Total Paid
$807
0.00% of all spending
Total Claims
140
Providers
6
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 94781? Based on 5 providers billing this code nationally.
Median
$4.19
Average
$6.12
Std Dev
$3.98
Max
$11.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.12 and $9.02 per claim for this code.
90% bill between $2.73 and $10.49.
Top 1% bill above $11.37.
About This Procedure
HCPCS code 94781 was billed by 6 providers across 140 claims, totaling $807 in Medicaid payments from 2018–2024. This code was used for 127 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.19
Providers Billing
5
National Spending
$807
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 94781
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992809412 | $550 |
| 2 | 1992802607 | $108 |
| 3 | 1669448882 | $54 |
| 4 | 1003882812 | $50 |
| 5 | 1467559179 | $45 |
| 6 | 1093779704 | $0 |
Showing top 6 of 6 providers billing this code