95076
HCPCS Procedure Code
HCPCS code 95076 is the #3,344 most-billed Medicaid procedure code, with $1.9M in payments across 16K claims from 2018–2024. The national median cost per claim is $70.83. Costs vary widely — the 90th percentile is $431.41 per claim, 6.1× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
16K
Providers
60
Avg Cost/Claim
$119
National Cost Distribution
How much do providers bill per claim for 95076? Based on 59 providers billing this code nationally.
Median
$70.83
Average
$157.48
Std Dev
$188.41
Max
$954.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.26 and $214.00 per claim for this code.
90% bill between $13.54 and $431.41.
Top 1% bill above $758.62.
About This Procedure
HCPCS code 95076 was billed by 60 providers across 16K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$70.83
Providers Billing
59
National Spending
$1.9M
Avg/Median Ratio
2.22×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 95076
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295738003 | $277K |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $239K |
| 3 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $211K |
| 4 | 1144405762 | $173K |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $128K |
| 6 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $101K |
| 7 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $99K |
| 8 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $75K |
| 9 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $72K |
| 10 | 1184048449 | $51K |
| 11 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $48K |
| 12 | The Milton S Hershey Medical Center Hershey, PA · General Acute Care Hospital | $42K |
| 13 | University Physicians Incorporated Aurora, CO · Anesthesiology | $41K |
| 14 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $35K |
| 15 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $32K |
| 16 | 1477986784 | $26K |
| 17 | 1336245828 | $25K |
| 18 | 1881607661 | $21K |
| 19 | 1750351375 | $20K |
| 20 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $20K |
Showing top 20 of 60 providers billing this code