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#4296 of 11K

95822

HCPCS Procedure Code

HCPCS code 95822 is the #4,296 most-billed Medicaid procedure code, with $686K in payments across 13K claims from 2018–2024. The national median cost per claim is $31.06. Costs vary widely — the 90th percentile is $111.63 per claim, 3.6× the median.

Total Paid

$686K

0.00% of all spending

Total Claims

13K

Providers

78

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 95822? Based on 77 providers billing this code nationally.

Median

$31.06

Average

$58.73

Std Dev

$83.72

Max

$494.13

Percentile Distribution (Cost per Claim)

p10
$16.38
p25
$22.32
Median
$31.06
p75
$48.77
p90
$111.63
p95
$282.25
p99
$355.26

50% of providers bill between $22.32 and $48.77 per claim for this code.

90% bill between $16.38 and $111.63.

Top 1% bill above $355.26.

About This Procedure

HCPCS code 95822 was billed by 78 providers across 13K claims, totaling $686K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.06

Providers Billing

77

National Spending

$686K

Avg/Median Ratio

1.89×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 95822

#ProviderTotal Paid
11891805727$144K
21659883486$99K
31063909208$58K
4Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$58K
51740264332$31K
61649372673$28K
7State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$25K
81598030181$19K
91013123231$18K
101548415474$16K
111437101821$15K
121174916522$13K
131033471453$12K
141295772093$12K
151497791297$10K
161437529245$10K
171265485270$8K
181093016651$7K
19Eastern Maine Medical Center

Bangor, ME · General Acute Care Hospital

$7K
201750333936$6K

Showing top 20 of 78 providers billing this code