95873
HCPCS Procedure Code
HCPCS code 95873 is the #4,977 most-billed Medicaid procedure code, with $332K in payments across 18K claims from 2018–2024. The national median cost per claim is $14.19. Costs vary widely — the 90th percentile is $66.19 per claim, 4.7× the median.
Total Paid
$332K
0.00% of all spending
Total Claims
18K
Providers
77
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 95873? Based on 70 providers billing this code nationally.
Median
$14.19
Average
$24.49
Std Dev
$30.45
Max
$141.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.92 and $23.57 per claim for this code.
90% bill between $1.83 and $66.19.
Top 1% bill above $132.20.
About This Procedure
HCPCS code 95873 was billed by 77 providers across 18K claims, totaling $332K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.19
Providers Billing
70
National Spending
$332K
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95873
| # | Provider | Total Paid |
|---|---|---|
| 1 | North Carolina Baptist Hospital Winston Salem, NC · General Acute Care Hospital | $56K |
| 2 | 1225119175 | $30K |
| 3 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $25K |
| 4 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $23K |
| 5 | Wake Forest University Health Sciences Winston Salem, NC · Clinic/Center, Multi-Specialty | $18K |
| 6 | 1780600825 | $18K |
| 7 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $17K |
| 8 | 1407116643 | $16K |
| 9 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $15K |
| 10 | 1821049156 | $12K |
| 11 | 1518911767 | $10K |
| 12 | Texas Children's Physician Group Houston, TX · Pediatrics | $8K |
| 13 | 1790719532 | $8K |
| 14 | 1508266347 | $7K |
| 15 | 1841573870 | $7K |
| 16 | 1548344393 | $6K |
| 17 | 1053641589 | $5K |
| 18 | 1669617197 | $5K |
| 19 | Montefiore Medical Center Bronx, NY · Anesthesiology | $5K |
| 20 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $5K |
Showing top 20 of 77 providers billing this code