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#6694 of 11K

95872

HCPCS Procedure Code

HCPCS code 95872 is the #6,694 most-billed Medicaid procedure code, with $47K in payments across 1,042 claims from 2018–2024. The national median cost per claim is $52.60.

Total Paid

$47K

0.00% of all spending

Total Claims

1,042

Providers

3

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 95872? Based on 3 providers billing this code nationally.

Median

$52.60

Average

$45.06

Std Dev

$18.57

Max

$58.68

Percentile Distribution (Cost per Claim)

p10
$29.65
p25
$38.25
Median
$52.60
p75
$55.64
p90
$57.46
p95
$58.07
p99
$58.56

50% of providers bill between $38.25 and $55.64 per claim for this code.

90% bill between $29.65 and $57.46.

Top 1% bill above $58.56.

About This Procedure

HCPCS code 95872 was billed by 3 providers across 1,042 claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 723 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.60

Providers Billing

3

National Spending

$47K

Avg/Median Ratio

0.86×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.