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#6735 of 11K

95065

HCPCS Procedure Code

HCPCS code 95065 is the #6,735 most-billed Medicaid procedure code, with $45K in payments across 2,329 claims from 2018–2024. The national median cost per claim is $9.03. Costs vary widely — the 90th percentile is $18.97 per claim, 2.1× the median.

Total Paid

$45K

0.00% of all spending

Total Claims

2,329

Providers

4

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 95065? Based on 3 providers billing this code nationally.

Median

$9.03

Average

$10.39

Std Dev

$10.45

Max

$21.46

Percentile Distribution (Cost per Claim)

p10
$2.35
p25
$4.85
Median
$9.03
p75
$15.24
p90
$18.97
p95
$20.21
p99
$21.21

50% of providers bill between $4.85 and $15.24 per claim for this code.

90% bill between $2.35 and $18.97.

Top 1% bill above $21.21.

About This Procedure

HCPCS code 95065 was billed by 4 providers across 2,329 claims, totaling $45K in Medicaid payments from 2018–2024. This code was used for 2,039 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.03

Providers Billing

3

National Spending

$45K

Avg/Median Ratio

1.15×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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