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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780066373 | $33K |
| 2 | 1033866421 | $4K |
| 3 | 1932126372 | $4K |
| 4 | 1922303718 | $3K |
| 5 | 1659640381 | $2K |
| 6 | 1013123231 | $222 |
| 7 | 1336173194 | $0 |
Showing top 7 of 7 providers billing this code