95912
HCPCS Procedure Code
HCPCS code 95912 is the #1,296 most-billed Medicaid procedure code, with $28.5M in payments across 179K claims from 2018–2024. The national median cost per claim is $141.23.
Total Paid
$28.5M
0.00% of all spending
Total Claims
179K
Providers
475
Avg Cost/Claim
$160
National Cost Distribution
How much do providers bill per claim for 95912? Based on 466 providers billing this code nationally.
Median
$141.23
Average
$149.90
Std Dev
$76.70
Max
$515.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $97.35 and $192.96 per claim for this code.
90% bill between $62.70 and $246.41.
Top 1% bill above $392.17.
About This Procedure
HCPCS code 95912 was billed by 475 providers across 179K claims, totaling $28.5M in Medicaid payments from 2018–2024. This code was used for 165K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$141.23
Providers Billing
466
National Spending
$28.5M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95912
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730399163 | $1.3M |
| 2 | 1760887673 | $844K |
| 3 | 1023079183 | $785K |
| 4 | 1952402612 | $772K |
| 5 | 1598346033 | $749K |
| 6 | 1285630129 | $712K |
| 7 | 1033548581 | $600K |
| 8 | 1659849040 | $512K |
| 9 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $510K |
| 10 | 1962779520 | $486K |
| 11 | 1184679201 | $461K |
| 12 | 1508059007 | $443K |
| 13 | 1629126974 | $428K |
| 14 | 1518151737 | $373K |
| 15 | 1316967805 | $364K |
| 16 | 1730813510 | $348K |
| 17 | 1558688754 | $335K |
| 18 | 1386091486 | $330K |
| 19 | 1831299346 | $328K |
| 20 | 1790798072 | $310K |
Showing top 20 of 475 providers billing this code