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#1671 of 11K

95910

HCPCS Procedure Code

HCPCS code 95910 is the #1,671 most-billed Medicaid procedure code, with $16.4M in payments across 162K claims from 2018–2024. The national median cost per claim is $97.13.

Total Paid

$16.4M

0.00% of all spending

Total Claims

162K

Providers

581

Avg Cost/Claim

$102

National Cost Distribution

How much do providers bill per claim for 95910? Based on 568 providers billing this code nationally.

Median

$97.13

Average

$103.38

Std Dev

$55.63

Max

$402.61

Percentile Distribution (Cost per Claim)

p10
$45.07
p25
$64.45
Median
$97.13
p75
$130.79
p90
$167.99
p95
$198.40
p99
$293.71

50% of providers bill between $64.45 and $130.79 per claim for this code.

90% bill between $45.07 and $167.99.

Top 1% bill above $293.71.

About This Procedure

HCPCS code 95910 was billed by 581 providers across 162K claims, totaling $16.4M in Medicaid payments from 2018–2024. This code was used for 145K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$97.13

Providers Billing

568

National Spending

$16.4M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95910

#ProviderTotal Paid
11730399163$991K
21962597492$627K
3Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$487K
41821254665$436K
51164594149$422K
61427360700$334K
71679671333$325K
81538244918$289K
91265536536$276K
101306924725$259K
111598346033$248K
121356578959$239K
131609907138$222K
141578819850$209K
151790785095$203K
161336319086$199K
171841414331$173K
181306844220$172K
19Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$167K
201477582526$160K

Showing top 20 of 581 providers billing this code