95028
HCPCS Procedure Code
HCPCS code 95028 is the #4,742 most-billed Medicaid procedure code, with $423K in payments across 10K claims from 2018–2024. The national median cost per claim is $160.93.
Total Paid
$423K
0.00% of all spending
Total Claims
10K
Providers
14
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for 95028? Based on 13 providers billing this code nationally.
Median
$160.93
Average
$134.38
Std Dev
$99.76
Max
$272.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $35.82 and $196.10 per claim for this code.
90% bill between $6.71 and $243.04.
Top 1% bill above $268.71.
About This Procedure
HCPCS code 95028 was billed by 14 providers across 10K claims, totaling $423K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$160.93
Providers Billing
13
National Spending
$423K
Avg/Median Ratio
0.84×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95028
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083857742 | $158K |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $94K |
| 3 | 1982874715 | $53K |
| 4 | 1740287549 | $27K |
| 5 | Montefiore Medical Center Bronx, NY · Anesthesiology | $27K |
| 6 | 1053563304 | $22K |
| 7 | 1811528656 | $14K |
| 8 | 1295993947 | $11K |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $8K |
| 10 | 1881876795 | $7K |
| 11 | 1255044368 | $3K |
| 12 | 1619048139 | $1K |
| 13 | 1649216631 | $133 |
| 14 | 1417919531 | $0 |
Showing top 14 of 14 providers billing this code