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#6997 of 11K

95721

HCPCS Procedure Code

HCPCS code 95721 is the #6,997 most-billed Medicaid procedure code, with $33K in payments across 220 claims from 2018–2024. The national median cost per claim is $125.88.

Total Paid

$33K

0.00% of all spending

Total Claims

220

Providers

8

Avg Cost/Claim

$149

National Cost Distribution

How much do providers bill per claim for 95721? Based on 8 providers billing this code nationally.

Median

$125.88

Average

$152.81

Std Dev

$88.71

Max

$352.58

Percentile Distribution (Cost per Claim)

p10
$94.25
p25
$110.00
Median
$125.88
p75
$160.16
p90
$237.27
p95
$294.93
p99
$341.05

50% of providers bill between $110.00 and $160.16 per claim for this code.

90% bill between $94.25 and $237.27.

Top 1% bill above $341.05.

About This Procedure

HCPCS code 95721 was billed by 8 providers across 220 claims, totaling $33K in Medicaid payments from 2018–2024. This code was used for 199 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$125.88

Providers Billing

8

National Spending

$33K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95721

#ProviderTotal Paid
11831251792$11K
21912188970$9K
31144961863$5K
41356459473$2K
51356016661$2K
61255365862$2K
71447299797$2K
81306867585$781

Showing top 8 of 8 providers billing this code