95716
HCPCS Procedure Code
HCPCS code 95716 is the #1,309 most-billed Medicaid procedure code, with $27.9M in payments across 37K claims from 2018–2024. The national median cost per claim is $685.48.
Total Paid
$27.9M
0.00% of all spending
Total Claims
37K
Providers
71
Avg Cost/Claim
$765
National Cost Distribution
How much do providers bill per claim for 95716? Based on 70 providers billing this code nationally.
Median
$685.48
Average
$761.22
Std Dev
$577.06
Max
$3,187.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $371.01 and $1,034.16 per claim for this code.
90% bill between $137.69 and $1,333.82.
Top 1% bill above $2,498.06.
About This Procedure
HCPCS code 95716 was billed by 71 providers across 37K claims, totaling $27.9M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$685.48
Providers Billing
70
National Spending
$27.9M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95716
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1104122621 | $5.1M |
| 2 | 1659849040 | $3.4M |
| 3 | 1932118056 | $2.9M |
| 4 | 1982666111 | $2.1M |
| 5 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $1.5M |
| 6 | 1063909208 | $1.2M |
| 7 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.1M |
| 8 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $936K |
| 9 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $920K |
| 10 | 1124128103 | $717K |
| 11 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $675K |
| 12 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $588K |
| 13 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $559K |
| 14 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $528K |
| 15 | 1689765737 | $449K |
| 16 | 1699286104 | $400K |
| 17 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $383K |
| 18 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $370K |
| 19 | 1518042175 | $365K |
| 20 | 1730296047 | $313K |
Showing top 20 of 71 providers billing this code