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#7817 of 11K

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)

p10
$3.87
p25
$8.15
Median
$15.30
p75
$27.90
p90
$35.45
p95
$37.97
p99
$39.99

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.