95868
HCPCS Procedure Code
HCPCS code 95868 is the #7,817 most-billed Medicaid procedure code, with $10K in payments across 725 claims from 2018–2024. The national median cost per claim is $15.30. Costs vary widely — the 90th percentile is $35.45 per claim, 2.3× the median.
Total Paid
$10K
0.00% of all spending
Total Claims
725
Providers
3
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 95868? Based on 3 providers billing this code nationally.
Median
$15.30
Average
$18.93
Std Dev
$19.99
Max
$40.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.15 and $27.90 per claim for this code.
90% bill between $3.87 and $35.45.
Top 1% bill above $39.99.
About This Procedure
HCPCS code 95868 was billed by 3 providers across 725 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 494 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.30
Providers Billing
3
National Spending
$10K
Avg/Median Ratio
1.24×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.