95923
HCPCS Procedure Code
HCPCS code 95923 is the #1,548 most-billed Medicaid procedure code, with $19.6M in payments across 318K claims from 2018–2024. The national median cost per claim is $44.24. Costs vary widely — the 90th percentile is $97.42 per claim, 2.2× the median.
Total Paid
$19.6M
0.00% of all spending
Total Claims
318K
Providers
845
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for 95923? Based on 803 providers billing this code nationally.
Median
$44.24
Average
$51.30
Std Dev
$35.02
Max
$320.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.47 and $76.46 per claim for this code.
90% bill between $11.35 and $97.42.
Top 1% bill above $127.65.
About This Procedure
HCPCS code 95923 was billed by 845 providers across 318K claims, totaling $19.6M in Medicaid payments from 2018–2024. This code was used for 295K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.24
Providers Billing
803
National Spending
$19.6M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95923
| # | Provider | Total Paid |
|---|---|---|
| 1 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $1.1M |
| 2 | 1366418709 | $988K |
| 3 | 1174537948 | $955K |
| 4 | 1275916652 | $888K |
| 5 | 1558688754 | $541K |
| 6 | 1265536536 | $392K |
| 7 | 1619977030 | $294K |
| 8 | 1508297854 | $282K |
| 9 | 1013259084 | $252K |
| 10 | 1366871378 | $252K |
| 11 | 1174793392 | $252K |
| 12 | 1811153695 | $237K |
| 13 | 1184766107 | $220K |
| 14 | 1386091486 | $219K |
| 15 | 1912037102 | $212K |
| 16 | 1821454505 | $210K |
| 17 | 1770861031 | $206K |
| 18 | 1598941577 | $206K |
| 19 | 1083672133 | $204K |
| 20 | 1730813510 | $203K |
Showing top 20 of 845 providers billing this code