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#5043 of 11K

95070

HCPCS Procedure Code

HCPCS code 95070 is the #5,043 most-billed Medicaid procedure code, with $308K in payments across 2,254 claims from 2018–2024. The national median cost per claim is $99.88. Costs vary widely — the 90th percentile is $817.56 per claim, 8.2× the median.

Total Paid

$308K

0.00% of all spending

Total Claims

2,254

Providers

5

Avg Cost/Claim

$137

National Cost Distribution

How much do providers bill per claim for 95070? Based on 5 providers billing this code nationally.

Median

$99.88

Average

$323.11

Std Dev

$469.00

Max

$1,123.81

Percentile Distribution (Cost per Claim)

p10
$15.99
p25
$21.06
Median
$99.88
p75
$358.19
p90
$817.56
p95
$970.69
p99
$1,093.19

50% of providers bill between $21.06 and $358.19 per claim for this code.

90% bill between $15.99 and $817.56.

Top 1% bill above $1,093.19.

About This Procedure

HCPCS code 95070 was billed by 5 providers across 2,254 claims, totaling $308K in Medicaid payments from 2018–2024. This code was used for 2,142 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.88

Providers Billing

5

National Spending

$308K

Avg/Median Ratio

3.23×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 95070

#ProviderTotal Paid
1Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$271K
21164690731$18K
31013995133$17K
4Alameda Health System

Oakland, CA · General Acute Care Hospital

$2K
51003931981$569

Showing top 5 of 5 providers billing this code