95860
HCPCS Procedure Code
HCPCS code 95860 is the #7,207 most-billed Medicaid procedure code, with $25K in payments across 1,630 claims from 2018–2024. The national median cost per claim is $40.39.
Total Paid
$25K
0.00% of all spending
Total Claims
1,630
Providers
9
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 95860? Based on 7 providers billing this code nationally.
Median
$40.39
Average
$44.75
Std Dev
$34.13
Max
$116.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.42 and $47.20 per claim for this code.
90% bill between $17.31 and $75.23.
Top 1% bill above $112.38.
About This Procedure
HCPCS code 95860 was billed by 9 providers across 1,630 claims, totaling $25K in Medicaid payments from 2018–2024. This code was used for 1,208 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.39
Providers Billing
7
National Spending
$25K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95860
| # | Provider | Total Paid |
|---|---|---|
| 1 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $13K |
| 2 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $8K |
| 3 | 1972556744 | $1K |
| 4 | 1679663447 | $1K |
| 5 | 1457467227 | $767 |
| 6 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $607 |
| 7 | 1871830380 | $314 |
| 8 | Contra Costa County Martinez, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $0 |
| 9 | 1699986331 | $0 |
Showing top 9 of 9 providers billing this code