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#6185 of 11K

95905

HCPCS Procedure Code

HCPCS code 95905 is the #6,185 most-billed Medicaid procedure code, with $86K in payments across 5,761 claims from 2018–2024. The national median cost per claim is $36.75. Costs vary widely — the 90th percentile is $107.59 per claim, 2.9× the median.

Total Paid

$86K

0.00% of all spending

Total Claims

5,761

Providers

11

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 95905? Based on 9 providers billing this code nationally.

Median

$36.75

Average

$53.04

Std Dev

$48.88

Max

$162.91

Percentile Distribution (Cost per Claim)

p10
$9.00
p25
$29.19
Median
$36.75
p75
$60.14
p90
$107.59
p95
$135.25
p99
$157.38

50% of providers bill between $29.19 and $60.14 per claim for this code.

90% bill between $9.00 and $107.59.

Top 1% bill above $157.38.

About This Procedure

HCPCS code 95905 was billed by 11 providers across 5,761 claims, totaling $86K in Medicaid payments from 2018–2024. This code was used for 5,441 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.75

Providers Billing

9

National Spending

$86K

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95905

#ProviderTotal Paid
11982095543$41K
21407413008$27K
31659312593$5K
41669533907$4K
51790984318$3K
61336173194$3K
71275916652$842
81053630343$817
91578707162$773
101427231596$0
111417925249$0

Showing top 11 of 11 providers billing this code