95851
HCPCS Procedure Code
HCPCS code 95851 is the #5,648 most-billed Medicaid procedure code, with $161K in payments across 29K claims from 2018–2024. The national median cost per claim is $6.72. Costs vary widely — the 90th percentile is $18.77 per claim, 2.8× the median.
Total Paid
$161K
0.00% of all spending
Total Claims
29K
Providers
79
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 95851? Based on 66 providers billing this code nationally.
Median
$6.72
Average
$7.64
Std Dev
$6.89
Max
$27.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.26 and $9.84 per claim for this code.
90% bill between $0.21 and $18.77.
Top 1% bill above $25.79.
About This Procedure
HCPCS code 95851 was billed by 79 providers across 29K claims, totaling $161K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.72
Providers Billing
66
National Spending
$161K
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95851
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982793733 | $55K |
| 2 | 1265564900 | $18K |
| 3 | 1245572866 | $11K |
| 4 | 1033425350 | $8K |
| 5 | 1780971523 | $7K |
| 6 | 1811271299 | $7K |
| 7 | 1083685986 | $6K |
| 8 | Bexar County Hospital District San Antonio, TX · Clinical Medical Laboratory | $5K |
| 9 | 1568739423 | $4K |
| 10 | 1215306535 | $4K |
| 11 | 1326256041 | $3K |
| 12 | 1528546108 | $3K |
| 13 | 1629409933 | $3K |
| 14 | 1538234364 | $2K |
| 15 | 1730359084 | $2K |
| 16 | 1235332396 | $2K |
| 17 | 1609471929 | $2K |
| 18 | 1790771889 | $1K |
| 19 | 1124468657 | $1K |
| 20 | 1912166075 | $1K |
Showing top 20 of 79 providers billing this code