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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $271K |
| 2 | 1164690731 | $18K |
| 3 | 1013995133 | $17K |
| 4 | Alameda Health System Oakland, CA · General Acute Care Hospital | $2K |
| 5 | 1003931981 | $569 |
Showing top 5 of 5 providers billing this code