95913
HCPCS Procedure Code
HCPCS code 95913 is the #1,174 most-billed Medicaid procedure code, with $35.6M in payments across 193K claims from 2018–2024. The national median cost per claim is $166.25.
Total Paid
$35.6M
0.00% of all spending
Total Claims
193K
Providers
500
Avg Cost/Claim
$185
National Cost Distribution
How much do providers bill per claim for 95913? Based on 489 providers billing this code nationally.
Median
$166.25
Average
$175.40
Std Dev
$120.31
Max
$1,800.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $113.48 and $215.76 per claim for this code.
90% bill between $65.37 and $268.18.
Top 1% bill above $464.84.
About This Procedure
HCPCS code 95913 was billed by 500 providers across 193K claims, totaling $35.6M in Medicaid payments from 2018–2024. This code was used for 173K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$166.25
Providers Billing
489
National Spending
$35.6M
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95913
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376967422 | $1.6M |
| 2 | 1043362445 | $1.5M |
| 3 | 1790806370 | $1.4M |
| 4 | 1659849040 | $1.4M |
| 5 | 1265507271 | $957K |
| 6 | 1285630129 | $870K |
| 7 | 1588832117 | $743K |
| 8 | 1306094925 | $742K |
| 9 | 1457731242 | $741K |
| 10 | 1013259084 | $701K |
| 11 | Broadlawns Medical Center Des Moines, IA · General Acute Care Hospital | $685K |
| 12 | 1528158292 | $672K |
| 13 | 1336319086 | $650K |
| 14 | 1740481043 | $573K |
| 15 | 1700030939 | $566K |
| 16 | 1386658672 | $549K |
| 17 | 1902816507 | $499K |
| 18 | 1659890218 | $474K |
| 19 | 1447244256 | $466K |
| 20 | 1558688754 | $391K |
Showing top 20 of 500 providers billing this code