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#6733 of 11K

95864

HCPCS Procedure Code

HCPCS code 95864 is the #6,733 most-billed Medicaid procedure code, with $45K in payments across 830 claims from 2018–2024. The national median cost per claim is $60.77.

Total Paid

$45K

0.00% of all spending

Total Claims

830

Providers

7

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for 95864? Based on 6 providers billing this code nationally.

Median

$60.77

Average

$58.06

Std Dev

$34.32

Max

$114.43

Percentile Distribution (Cost per Claim)

p10
$22.37
p25
$35.77
Median
$60.77
p75
$66.08
p90
$91.04
p95
$102.74
p99
$112.09

50% of providers bill between $35.77 and $66.08 per claim for this code.

90% bill between $22.37 and $91.04.

Top 1% bill above $112.09.

About This Procedure

HCPCS code 95864 was billed by 7 providers across 830 claims, totaling $45K in Medicaid payments from 2018–2024. This code was used for 796 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$60.77

Providers Billing

6

National Spending

$45K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95864

#ProviderTotal Paid
11780066373$33K
21033866421$4K
31932126372$4K
41922303718$3K
51659640381$2K
61013123231$222
71336173194$0

Showing top 7 of 7 providers billing this code