95117
HCPCS Procedure Code
HCPCS code 95117 is the #601 most-billed Medicaid procedure code, with $132.1M in payments across 14.3M claims from 2018–2024. The national median cost per claim is $8.34.
Total Paid
$132.1M
0.01% of all spending
Total Claims
14.3M
Providers
2,675
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 95117? Based on 2,630 providers billing this code nationally.
Median
$8.34
Average
$9.37
Std Dev
$6.98
Max
$155.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.78 and $10.27 per claim for this code.
90% bill between $5.18 and $13.01.
Top 1% bill above $40.17.
About This Procedure
HCPCS code 95117 was billed by 2,675 providers across 14.3M claims, totaling $132.1M in Medicaid payments from 2018–2024. This code was used for 6.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.34
Providers Billing
2,630
National Spending
$132.1M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95117
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881785947 | $8.1M |
| 2 | 1073508347 | $4.5M |
| 3 | 1376554824 | $2.8M |
| 4 | 1376598326 | $2.6M |
| 5 | 1215995444 | $1.8M |
| 6 | 1770594129 | $1.8M |
| 7 | 1841484235 | $1.3M |
| 8 | 1831355833 | $977K |
| 9 | 1861599094 | $960K |
| 10 | 1780809012 | $957K |
| 11 | 1912089335 | $934K |
| 12 | 1134153083 | $918K |
| 13 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $881K |
| 14 | 1780817502 | $876K |
| 15 | 1205826559 | $836K |
| 16 | 1093779696 | $783K |
| 17 | 1558351726 | $745K |
| 18 | 1932398054 | $730K |
| 19 | 1033139498 | $717K |
| 20 | 1871526459 | $698K |
Showing top 20 of 2,675 providers billing this code