95719
HCPCS Procedure Code
HCPCS code 95719 is the #4,266 most-billed Medicaid procedure code, with $704K in payments across 5,038 claims from 2018–2024. The national median cost per claim is $124.17.
Total Paid
$704K
0.00% of all spending
Total Claims
5,038
Providers
30
Avg Cost/Claim
$140
National Cost Distribution
How much do providers bill per claim for 95719? Based on 30 providers billing this code nationally.
Median
$124.17
Average
$128.19
Std Dev
$44.36
Max
$211.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $101.79 and $147.35 per claim for this code.
90% bill between $82.23 and $191.56.
Top 1% bill above $209.62.
About This Procedure
HCPCS code 95719 was billed by 30 providers across 5,038 claims, totaling $704K in Medicaid payments from 2018–2024. This code was used for 3,635 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$124.17
Providers Billing
30
National Spending
$704K
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95719
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447554001 | $272K |
| 2 | 1689019259 | $105K |
| 3 | 1881146413 | $67K |
| 4 | 1811064520 | $36K |
| 5 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $35K |
| 6 | 1497791297 | $30K |
| 7 | 1063909208 | $27K |
| 8 | 1437117074 | $18K |
| 9 | 1598213407 | $16K |
| 10 | 1548205909 | $15K |
| 11 | 1508266347 | $12K |
| 12 | 1467454967 | $10K |
| 13 | Children's Specialty Group, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $9K |
| 14 | 1295373835 | $7K |
| 15 | 1972561025 | $7K |
| 16 | 1699720086 | $6K |
| 17 | 1760436190 | $5K |
| 18 | 1225192610 | $5K |
| 19 | 1033653571 | $4K |
| 20 | 1205425519 | $4K |
Showing top 20 of 30 providers billing this code