95079
HCPCS Procedure Code
HCPCS code 95079 is the #6,155 most-billed Medicaid procedure code, with $90K in payments across 699 claims from 2018–2024. The national median cost per claim is $122.85.
Total Paid
$90K
0.00% of all spending
Total Claims
699
Providers
8
Avg Cost/Claim
$128
National Cost Distribution
How much do providers bill per claim for 95079? Based on 8 providers billing this code nationally.
Median
$122.85
Average
$137.94
Std Dev
$67.13
Max
$244.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $89.98 and $190.84 per claim for this code.
90% bill between $62.88 and $216.11.
Top 1% bill above $241.56.
About This Procedure
HCPCS code 95079 was billed by 8 providers across 699 claims, totaling $90K in Medicaid payments from 2018–2024. This code was used for 591 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$122.85
Providers Billing
8
National Spending
$90K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95079
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Physicians Incorporated Aurora, CO · Anesthesiology | $24K |
| 2 | 1295738003 | $18K |
| 3 | 1336245828 | $17K |
| 4 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $15K |
| 5 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $8K |
| 6 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $3K |
| 7 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $2K |
| 8 | 1659775500 | $1K |
Showing top 8 of 8 providers billing this code