95712
HCPCS Procedure Code
HCPCS code 95712 is the #3,512 most-billed Medicaid procedure code, with $1.6M in payments across 5,107 claims from 2018–2024. The national median cost per claim is $308.45. Costs vary widely — the 90th percentile is $1,067.88 per claim, 3.5× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
5,107
Providers
28
Avg Cost/Claim
$311
National Cost Distribution
How much do providers bill per claim for 95712? Based on 27 providers billing this code nationally.
Median
$308.45
Average
$551.54
Std Dev
$891.57
Max
$4,112.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $116.71 and $473.43 per claim for this code.
90% bill between $60.86 and $1,067.88.
Top 1% bill above $3,737.99.
About This Procedure
HCPCS code 95712 was billed by 28 providers across 5,107 claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 4,855 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$308.45
Providers Billing
27
National Spending
$1.6M
Avg/Median Ratio
1.79×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95712
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1659849040 | $497K |
| 2 | 1184679201 | $267K |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $189K |
| 4 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $127K |
| 5 | 1184247371 | $87K |
| 6 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $82K |
| 7 | 1265536536 | $70K |
| 8 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $52K |
| 9 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $45K |
| 10 | 1760441141 | $35K |
| 11 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $29K |
| 12 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $24K |
| 13 | 1386835601 | $20K |
| 14 | 1932118056 | $20K |
| 15 | 1497168546 | $6K |
| 16 | 1043770621 | $5K |
| 17 | 1346217452 | $5K |
| 18 | 1588855837 | $5K |
| 19 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $4K |
| 20 | 1417446691 | $4K |
Showing top 20 of 28 providers billing this code