95813
HCPCS Procedure Code
HCPCS code 95813 is the #1,297 most-billed Medicaid procedure code, with $28.5M in payments across 135K claims from 2018–2024. The national median cost per claim is $121.48. Costs vary widely — the 90th percentile is $378.47 per claim, 3.1× the median.
Total Paid
$28.5M
0.00% of all spending
Total Claims
135K
Providers
366
Avg Cost/Claim
$211
National Cost Distribution
How much do providers bill per claim for 95813? Based on 365 providers billing this code nationally.
Median
$121.48
Average
$179.98
Std Dev
$168.72
Max
$1,088.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $56.18 and $256.76 per claim for this code.
90% bill between $40.58 and $378.47.
Top 1% bill above $808.11.
About This Procedure
HCPCS code 95813 was billed by 366 providers across 135K claims, totaling $28.5M in Medicaid payments from 2018–2024. This code was used for 125K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$121.48
Providers Billing
365
National Spending
$28.5M
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95813
| # | Provider | Total Paid |
|---|---|---|
| 1 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $1.9M |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.3M |
| 3 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $997K |
| 4 | 1689765737 | $903K |
| 5 | 1912070673 | $875K |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $850K |
| 7 | 1124573522 | $808K |
| 8 | 1780014761 | $796K |
| 9 | 1679643027 | $730K |
| 10 | 1790806370 | $661K |
| 11 | 1033574140 | $640K |
| 12 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $595K |
| 13 | 1073508545 | $576K |
| 14 | 1629011234 | $548K |
| 15 | 1891935862 | $522K |
| 16 | 1386091486 | $500K |
| 17 | 1235274200 | $393K |
| 18 | 1043497571 | $383K |
| 19 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $368K |
| 20 | 1508808676 | $358K |
Showing top 20 of 366 providers billing this code