95870
HCPCS Procedure Code
HCPCS code 95870 is the #5,531 most-billed Medicaid procedure code, with $181K in payments across 17K claims from 2018–2024. The national median cost per claim is $16.88.
Total Paid
$181K
0.00% of all spending
Total Claims
17K
Providers
25
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 95870? Based on 23 providers billing this code nationally.
Median
$16.88
Average
$17.62
Std Dev
$9.62
Max
$40.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.01 and $21.15 per claim for this code.
90% bill between $7.06 and $31.50.
Top 1% bill above $40.32.
About This Procedure
HCPCS code 95870 was billed by 25 providers across 17K claims, totaling $181K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.88
Providers Billing
23
National Spending
$181K
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95870
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740391283 | $67K |
| 2 | 1124253075 | $61K |
| 3 | 1790083723 | $14K |
| 4 | 1972551893 | $9K |
| 5 | 1174916522 | $4K |
| 6 | 1134307531 | $4K |
| 7 | 1194925206 | $3K |
| 8 | 1134593411 | $3K |
| 9 | 1780066373 | $2K |
| 10 | 1952340911 | $2K |
| 11 | 1730321605 | $1K |
| 12 | 1306204805 | $1K |
| 13 | 1508231267 | $1K |
| 14 | 1336492800 | $956 |
| 15 | 1598066730 | $938 |
| 16 | 1528406915 | $759 |
| 17 | 1659765204 | $733 |
| 18 | 1598012429 | $649 |
| 19 | 1609134352 | $545 |
| 20 | 1871830380 | $490 |
Showing top 20 of 25 providers billing this code