95886
HCPCS Procedure Code
HCPCS code 95886 is the #535 most-billed Medicaid procedure code, with $160.3M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $67.70. Costs vary widely — the 90th percentile is $153.27 per claim, 2.3× the median.
Total Paid
$160.3M
0.01% of all spending
Total Claims
1.9M
Providers
2,698
Avg Cost/Claim
$85
National Cost Distribution
How much do providers bill per claim for 95886? Based on 2,613 providers billing this code nationally.
Median
$67.70
Average
$81.21
Std Dev
$57.38
Max
$480.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.23 and $105.43 per claim for this code.
90% bill between $25.23 and $153.27.
Top 1% bill above $276.04.
About This Procedure
HCPCS code 95886 was billed by 2,698 providers across 1.9M claims, totaling $160.3M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$67.70
Providers Billing
2,613
National Spending
$160.3M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95886
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1659849040 | $2.4M |
| 2 | 1730399163 | $2.3M |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.7M |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.5M |
| 5 | 1376967422 | $1.5M |
| 6 | 1033548581 | $1.4M |
| 7 | 1447244256 | $1.3M |
| 8 | 1962597492 | $1.3M |
| 9 | 1275647851 | $1.2M |
| 10 | 1457731242 | $1.2M |
| 11 | 1760441141 | $1.2M |
| 12 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $1.1M |
| 13 | 1306094925 | $1.0M |
| 14 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $1.0M |
| 15 | 1730813510 | $1.0M |
| 16 | 1285630129 | $1.0M |
| 17 | 1043497571 | $990K |
| 18 | 1336319086 | $958K |
| 19 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $951K |
| 20 | 1952402612 | $941K |
Showing top 20 of 2,698 providers billing this code