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#599 of 11K

95782

HCPCS Procedure Code

HCPCS code 95782 is the #599 most-billed Medicaid procedure code, with $132.8M in payments across 214K claims from 2018–2024. The national median cost per claim is $216.35. Costs vary widely — the 90th percentile is $1,114.97 per claim, 5.2× the median.

Total Paid

$132.8M

0.01% of all spending

Total Claims

214K

Providers

379

Avg Cost/Claim

$620

National Cost Distribution

How much do providers bill per claim for 95782? Based on 378 providers billing this code nationally.

Median

$216.35

Average

$522.54

Std Dev

$647.24

Max

$5,296.19

Percentile Distribution (Cost per Claim)

p10
$78.63
p25
$102.20
Median
$216.35
p75
$796.75
p90
$1,114.97
p95
$1,510.21
p99
$3,556.56

50% of providers bill between $102.20 and $796.75 per claim for this code.

90% bill between $78.63 and $1,114.97.

Top 1% bill above $3,556.56.

About This Procedure

HCPCS code 95782 was billed by 379 providers across 214K claims, totaling $132.8M in Medicaid payments from 2018–2024. This code was used for 205K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$216.35

Providers Billing

378

National Spending

$132.8M

Avg/Median Ratio

2.42×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 95782

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$9.8M
2Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$9.5M
31316010952$8.4M
4Children's Health System Of Texas

Plano, TX · General Acute Care Hospital Children

$6.5M
51457396541$3.3M
6Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$2.9M
7Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$2.9M
8Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$2.8M
9Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$2.5M
101336245828$2.5M
11Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$2.4M
12Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$2.2M
13Nemours Children's Health, Downtown Orlando, Specialty Care

Orlando, FL · Clinic/Center, Multi-Specialty

$2.2M
14Children's Hospital Corporation

Boston, MA · Clinic/Center

$2.0M
151275086431$2.0M
161760476659$2.0M
17Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.9M
18Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$1.6M
191346297843$1.6M
20Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$1.6M

Showing top 20 of 379 providers billing this code

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