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#8276 of 11K

95852

HCPCS Procedure Code

HCPCS code 95852 is the #8,276 most-billed Medicaid procedure code, with $4K in payments across 2,635 claims from 2018–2024. The national median cost per claim is $2.39. Costs vary widely — the 90th percentile is $9.91 per claim, 4.1× the median.

Total Paid

$4K

0.00% of all spending

Total Claims

2,635

Providers

7

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 95852? Based on 5 providers billing this code nationally.

Median

$2.39

Average

$5.09

Std Dev

$4.27

Max

$10.95

Percentile Distribution (Cost per Claim)

p10
$1.82
p25
$2.25
Median
$2.39
p75
$8.35
p90
$9.91
p95
$10.43
p99
$10.85

50% of providers bill between $2.25 and $8.35 per claim for this code.

90% bill between $1.82 and $9.91.

Top 1% bill above $10.85.

About This Procedure

HCPCS code 95852 was billed by 7 providers across 2,635 claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 1,466 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.39

Providers Billing

5

National Spending

$4K

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 95852

#ProviderTotal Paid
11215306535$3K
21295062610$407
31629245188$299
41235134024$131
51629409933$100
61770748097$0
71083605661$0

Showing top 7 of 7 providers billing this code