95805
HCPCS Procedure Code
HCPCS code 95805 is the #5,937 most-billed Medicaid procedure code, with $116K in payments across 533 claims from 2018–2024. The national median cost per claim is $172.64. Costs vary widely — the 90th percentile is $507.16 per claim, 2.9× the median.
Total Paid
$116K
0.00% of all spending
Total Claims
533
Providers
14
Avg Cost/Claim
$218
National Cost Distribution
How much do providers bill per claim for 95805? Based on 14 providers billing this code nationally.
Median
$172.64
Average
$217.52
Std Dev
$205.72
Max
$641.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.27 and $345.78 per claim for this code.
90% bill between $27.39 and $507.16.
Top 1% bill above $626.96.
About This Procedure
HCPCS code 95805 was billed by 14 providers across 533 claims, totaling $116K in Medicaid payments from 2018–2024. This code was used for 454 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$172.64
Providers Billing
14
National Spending
$116K
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95805
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346406469 | $36K |
| 2 | 1316010952 | $33K |
| 3 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $17K |
| 4 | 1154372340 | $6K |
| 5 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $6K |
| 6 | 1306809397 | $5K |
| 7 | 1538564463 | $3K |
| 8 | 1275739351 | $2K |
| 9 | 1275588147 | $2K |
| 10 | 1649227265 | $2K |
| 11 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $1K |
| 12 | 1912194135 | $804 |
| 13 | 1811920549 | $632 |
| 14 | 1285079764 | $43 |
Showing top 14 of 14 providers billing this code