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#2162 of 11K

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)

p10
$6.91
p25
$17.65
Median
$31.18
p75
$49.84
p90
$63.18
p95
$69.49
p99
$79.71

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

#ProviderTotal Paid
11174537948$649K
21366418709$631K
31275916652$533K
4New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$516K
51558688754$360K
61174793392$161K
71013259084$152K
81619977030$147K
91821454505$145K
101386091486$145K
111730813510$138K
121013334234$136K
131811153695$136K
141447596945$125K
151265536536$120K
161336319086$117K
171770861031$107K
181831517002$99K
191215923685$98K
201083658918$96K

Showing top 20 of 497 providers billing this code