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#679 of 11K

95819

Electroencephalogram with sleep recording

Electroencephalogram with sleep recording is the #679 most-billed Medicaid procedure code, with $107.3M in payments across 646K claims from 2018–2024. The national median cost per claim is $62.75. Costs vary widely — the 90th percentile is $319.90 per claim, 5.1× the median.

Total Paid

$107.3M

0.01% of all spending

Total Claims

646K

Providers

1K

Avg Cost/Claim

$166

National Cost Distribution

How much do providers bill per claim for 95819? Based on 1K providers billing this code nationally.

Median

$62.75

Average

$124.24

Std Dev

$133.54

Max

$858.46

Percentile Distribution (Cost per Claim)

p10
$15.11
p25
$27.36
Median
$62.75
p75
$194.49
p90
$319.90
p95
$378.59
p99
$581.68

50% of providers bill between $27.36 and $194.49 per claim for this code.

90% bill between $15.11 and $319.90.

Top 1% bill above $581.68.

About This Procedure

HCPCS code 95819 (Electroencephalogram with sleep recording) was billed by 1K providers across 646K claims, totaling $107.3M in Medicaid payments from 2018–2024. This code was used for 598K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.75

Providers Billing

1K

National Spending

$107.3M

Avg/Median Ratio

1.98×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 95819

#ProviderTotal Paid
11659849040$4.7M
21104122621$3.4M
31679648331$3.2M
41912188970$2.6M
51033548581$2.5M
61164594149$2.2M
71558688754$2.0M
81952402612$1.9M
91306824420$1.8M
10Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1.5M
111689765737$1.5M
12Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$1.5M
131659356103$1.4M
141760441141$1.3M
151124128103$1.2M
16Children's Hospital Corporation

Boston, MA · Clinic/Center

$1.1M
171376967422$1.1M
181124248844$1.1M
19Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$1.1M
201669588158$1.0M

Showing top 20 of 1K providers billing this code