95249
HCPCS Procedure Code
HCPCS code 95249 is the #6,034 most-billed Medicaid procedure code, with $103K in payments across 4,963 claims from 2018–2024. The national median cost per claim is $19.95. Costs vary widely — the 90th percentile is $50.64 per claim, 2.5× the median.
Total Paid
$103K
0.00% of all spending
Total Claims
4,963
Providers
52
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 95249? Based on 49 providers billing this code nationally.
Median
$19.95
Average
$24.92
Std Dev
$21.40
Max
$121.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.99 and $34.16 per claim for this code.
90% bill between $3.58 and $50.64.
Top 1% bill above $92.45.
About This Procedure
HCPCS code 95249 was billed by 52 providers across 4,963 claims, totaling $103K in Medicaid payments from 2018–2024. This code was used for 4,531 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.95
Providers Billing
49
National Spending
$103K
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95249
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083971881 | $12K |
| 2 | 1245248939 | $11K |
| 3 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $8K |
| 4 | 1750895835 | $8K |
| 5 | Mount Sinai Hospital New York, NY · Ambulance | $8K |
| 6 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $7K |
| 7 | 1689979569 | $7K |
| 8 | 1124098421 | $6K |
| 9 | 1619082625 | $4K |
| 10 | State Of Connecticut Farmington, CT · Counselor, Professional | $3K |
| 11 | 1154751931 | $2K |
| 12 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $2K |
| 13 | 1407059199 | $2K |
| 14 | 1578583951 | $2K |
| 15 | 1649726738 | $2K |
| 16 | 1740475664 | $2K |
| 17 | 1437111028 | $1K |
| 18 | 1003994252 | $1K |
| 19 | 1073680419 | $1K |
| 20 | 1265994636 | $1K |
Showing top 20 of 52 providers billing this code