Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7267 of 11K

95827

HCPCS Procedure Code

HCPCS code 95827 is the #7,267 most-billed Medicaid procedure code, with $23K in payments across 106 claims from 2018–2024. The national median cost per claim is $166.72.

Total Paid

$23K

0.00% of all spending

Total Claims

106

Providers

3

Avg Cost/Claim

$216

National Cost Distribution

How much do providers bill per claim for 95827? Based on 3 providers billing this code nationally.

Median

$166.72

Average

$218.40

Std Dev

$124.81

Max

$360.75

Percentile Distribution (Cost per Claim)

p10
$135.53
p25
$147.22
Median
$166.72
p75
$263.73
p90
$321.94
p95
$341.34
p99
$356.87

50% of providers bill between $147.22 and $263.73 per claim for this code.

90% bill between $135.53 and $321.94.

Top 1% bill above $356.87.

About This Procedure

HCPCS code 95827 was billed by 3 providers across 106 claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 77 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$166.72

Providers Billing

3

National Spending

$23K

Avg/Median Ratio

1.31×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.