95700
HCPCS Procedure Code
HCPCS code 95700 is the #1,300 most-billed Medicaid procedure code, with $28.5M in payments across 166K claims from 2018–2024. The national median cost per claim is $154.31. Costs vary widely — the 90th percentile is $318.01 per claim, 2.1× the median.
Total Paid
$28.5M
0.00% of all spending
Total Claims
166K
Providers
303
Avg Cost/Claim
$172
National Cost Distribution
How much do providers bill per claim for 95700? Based on 290 providers billing this code nationally.
Median
$154.31
Average
$201.80
Std Dev
$295.15
Max
$3,883.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $99.99 and $215.76 per claim for this code.
90% bill between $43.50 and $318.01.
Top 1% bill above $1,361.28.
About This Procedure
HCPCS code 95700 was billed by 303 providers across 166K claims, totaling $28.5M in Medicaid payments from 2018–2024. This code was used for 143K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$154.31
Providers Billing
290
National Spending
$28.5M
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95700
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1104122621 | $1.2M |
| 2 | 1225056252 | $1.1M |
| 3 | 1932118056 | $962K |
| 4 | 1558770727 | $863K |
| 5 | 1497168546 | $781K |
| 6 | 1912318445 | $736K |
| 7 | 1184679201 | $674K |
| 8 | 1013047042 | $600K |
| 9 | 1982666111 | $536K |
| 10 | 1659849040 | $478K |
| 11 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $447K |
| 12 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $438K |
| 13 | 1487155354 | $422K |
| 14 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $418K |
| 15 | 1437150984 | $409K |
| 16 | 1689765737 | $397K |
| 17 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $391K |
| 18 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $390K |
| 19 | 1982149738 | $380K |
| 20 | 1265803829 | $374K |
Showing top 20 of 303 providers billing this code