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#2152 of 11K

95885

HCPCS Procedure Code

HCPCS code 95885 is the #2,152 most-billed Medicaid procedure code, with $8.4M in payments across 130K claims from 2018–2024. The national median cost per claim is $39.97. Costs vary widely — the 90th percentile is $116.64 per claim, 2.9× the median.

Total Paid

$8.4M

0.00% of all spending

Total Claims

130K

Providers

416

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for 95885? Based on 398 providers billing this code nationally.

Median

$39.97

Average

$57.59

Std Dev

$61.96

Max

$402.48

Percentile Distribution (Cost per Claim)

p10
$9.91
p25
$17.98
Median
$39.97
p75
$70.13
p90
$116.64
p95
$183.48
p99
$306.10

50% of providers bill between $17.98 and $70.13 per claim for this code.

90% bill between $9.91 and $116.64.

Top 1% bill above $306.10.

About This Procedure

HCPCS code 95885 was billed by 416 providers across 130K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 115K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.97

Providers Billing

398

National Spending

$8.4M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95885

#ProviderTotal Paid
1Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$631K
2Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$494K
31043362445$420K
41043446941$400K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$375K
6Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$347K
7The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$319K
8Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$276K
91821186313$262K
101700837770$181K
111285687822$168K
12University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$158K
131124111901$153K
141467450601$129K
151629134192$128K
16The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$126K
17The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$122K
181669588158$114K
191053377796$98K
20Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$90K

Showing top 20 of 416 providers billing this code

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