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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043362445 | $146K |
| 2 | 1013259084 | $133K |
| 3 | 1730813510 | $114K |
| 4 | 1013334234 | $74K |
| 5 | 1124003488 | $45K |
| 6 | 1174606438 | $30K |
| 7 | 1740586627 | $30K |
| 8 | 1366806655 | $27K |
| 9 | 1497407654 | $13K |
| 10 | 1134422660 | $13K |
| 11 | 1730668526 | $9K |
| 12 | 1922150044 | $6K |
| 13 | 1407587942 | $5K |
| 14 | 1831517002 | $4K |
| 15 | 1376642900 | $3K |
| 16 | 1487396289 | $3K |
| 17 | 1821589151 | $3K |
| 18 | 1164630448 | $2K |
| 19 | 1629126974 | $1K |
| 20 | 1245464478 | $1K |
Showing top 20 of 33 providers billing this code