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#4316 of 11K

95926

HCPCS Procedure Code

HCPCS code 95926 is the #4,316 most-billed Medicaid procedure code, with $669K in payments across 14K claims from 2018–2024. The national median cost per claim is $38.33. Costs vary widely — the 90th percentile is $77.66 per claim, 2.0× the median.

Total Paid

$669K

0.00% of all spending

Total Claims

14K

Providers

33

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 95926? Based on 31 providers billing this code nationally.

Median

$38.33

Average

$42.91

Std Dev

$33.48

Max

$129.68

Percentile Distribution (Cost per Claim)

p10
$4.00
p25
$15.13
Median
$38.33
p75
$63.01
p90
$77.66
p95
$107.39
p99
$129.26

50% of providers bill between $15.13 and $63.01 per claim for this code.

90% bill between $4.00 and $77.66.

Top 1% bill above $129.26.

About This Procedure

HCPCS code 95926 was billed by 33 providers across 14K claims, totaling $669K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.33

Providers Billing

31

National Spending

$669K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95926

#ProviderTotal Paid
11043362445$146K
21013259084$133K
31730813510$114K
41013334234$74K
51124003488$45K
61174606438$30K
71740586627$30K
81366806655$27K
91497407654$13K
101134422660$13K
111730668526$9K
121922150044$6K
131407587942$5K
141831517002$4K
151376642900$3K
161487396289$3K
171821589151$3K
181164630448$2K
191629126974$1K
201245464478$1K

Showing top 20 of 33 providers billing this code