95115
HCPCS Procedure Code
HCPCS code 95115 is the #1,573 most-billed Medicaid procedure code, with $18.8M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $6.96.
Total Paid
$18.8M
0.00% of all spending
Total Claims
2.6M
Providers
1,004
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 95115? Based on 986 providers billing this code nationally.
Median
$6.96
Average
$7.72
Std Dev
$5.35
Max
$68.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.55 and $8.42 per claim for this code.
90% bill between $4.09 and $10.49.
Top 1% bill above $34.41.
About This Procedure
HCPCS code 95115 was billed by 1,004 providers across 2.6M claims, totaling $18.8M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.96
Providers Billing
986
National Spending
$18.8M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95115
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073508347 | $514K |
| 2 | 1891787289 | $478K |
| 3 | 1881785947 | $442K |
| 4 | 1154360576 | $436K |
| 5 | 1922179050 | $435K |
| 6 | 1215995444 | $347K |
| 7 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $280K |
| 8 | 1477622355 | $262K |
| 9 | 1780817502 | $245K |
| 10 | 1154351963 | $239K |
| 11 | 1386194843 | $224K |
| 12 | 1902906019 | $205K |
| 13 | 1205826559 | $192K |
| 14 | 1619037975 | $192K |
| 15 | 1821288606 | $179K |
| 16 | 1033121249 | $176K |
| 17 | 1982874715 | $156K |
| 18 | 1932154101 | $145K |
| 19 | 1154401941 | $143K |
| 20 | 1700882388 | $143K |
Showing top 20 of 1,004 providers billing this code