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#802 of 11K

95715

HCPCS Procedure Code

HCPCS code 95715 is the #802 most-billed Medicaid procedure code, with $77.7M in payments across 109K claims from 2018–2024. The national median cost per claim is $615.45. Costs vary widely — the 90th percentile is $1,360.26 per claim, 2.2× the median.

Total Paid

$77.7M

0.01% of all spending

Total Claims

109K

Providers

100

Avg Cost/Claim

$715

National Cost Distribution

How much do providers bill per claim for 95715? Based on 97 providers billing this code nationally.

Median

$615.45

Average

$766.16

Std Dev

$734.41

Max

$5,225.54

Percentile Distribution (Cost per Claim)

p10
$214.78
p25
$302.23
Median
$615.45
p75
$928.34
p90
$1,360.26
p95
$2,295.16
p99
$3,484.36

50% of providers bill between $302.23 and $928.34 per claim for this code.

90% bill between $214.78 and $1,360.26.

Top 1% bill above $3,484.36.

About This Procedure

HCPCS code 95715 was billed by 100 providers across 109K claims, totaling $77.7M in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$615.45

Providers Billing

97

National Spending

$77.7M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95715

#ProviderTotal Paid
11497168546$10.4M
21558770727$7.4M
31912318445$6.2M
41336595826$3.4M
51225056252$3.2M
61114380102$2.7M
71184679201$2.7M
81982149738$2.6M
91427407386$2.5M
10University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.3M
111073962528$2.3M
121760441141$2.2M
131013998830$2.1M
14The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$2.1M
151932118056$1.7M
161184247371$1.6M
171932558608$1.5M
181063956555$1.5M
191790199859$1.3M
201184631756$1.2M

Showing top 20 of 100 providers billing this code