95921
HCPCS Procedure Code
HCPCS code 95921 is the #2,162 most-billed Medicaid procedure code, with $8.3M in payments across 198K claims from 2018–2024. The national median cost per claim is $31.18. Costs vary widely — the 90th percentile is $63.18 per claim, 2.0× the median.
Total Paid
$8.3M
0.00% of all spending
Total Claims
198K
Providers
497
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 95921? Based on 465 providers billing this code nationally.
Median
$31.18
Average
$34.01
Std Dev
$21.32
Max
$109.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.65 and $49.84 per claim for this code.
90% bill between $6.91 and $63.18.
Top 1% bill above $79.71.
About This Procedure
HCPCS code 95921 was billed by 497 providers across 198K claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 182K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.18
Providers Billing
465
National Spending
$8.3M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95921
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1174537948 | $649K |
| 2 | 1366418709 | $631K |
| 3 | 1275916652 | $533K |
| 4 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $516K |
| 5 | 1558688754 | $360K |
| 6 | 1174793392 | $161K |
| 7 | 1013259084 | $152K |
| 8 | 1619977030 | $147K |
| 9 | 1821454505 | $145K |
| 10 | 1386091486 | $145K |
| 11 | 1730813510 | $138K |
| 12 | 1013334234 | $136K |
| 13 | 1811153695 | $136K |
| 14 | 1447596945 | $125K |
| 15 | 1265536536 | $120K |
| 16 | 1336319086 | $117K |
| 17 | 1770861031 | $107K |
| 18 | 1831517002 | $99K |
| 19 | 1215923685 | $98K |
| 20 | 1083658918 | $96K |
Showing top 20 of 497 providers billing this code