95937
HCPCS Procedure Code
HCPCS code 95937 is the #4,581 most-billed Medicaid procedure code, with $504K in payments across 30K claims from 2018–2024. The national median cost per claim is $15.51. Costs vary widely — the 90th percentile is $50.77 per claim, 3.3× the median.
Total Paid
$504K
0.00% of all spending
Total Claims
30K
Providers
52
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 95937? Based on 50 providers billing this code nationally.
Median
$15.51
Average
$24.16
Std Dev
$23.39
Max
$111.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.01 and $27.35 per claim for this code.
90% bill between $9.25 and $50.77.
Top 1% bill above $110.77.
About This Procedure
HCPCS code 95937 was billed by 52 providers across 30K claims, totaling $504K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.51
Providers Billing
50
National Spending
$504K
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95937
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134307531 | $83K |
| 2 | 1013259084 | $78K |
| 3 | 1508231267 | $41K |
| 4 | 1396937454 | $40K |
| 5 | 1972551893 | $29K |
| 6 | 1336492800 | $28K |
| 7 | 1174916522 | $23K |
| 8 | 1649372673 | $17K |
| 9 | 1871830380 | $16K |
| 10 | 1003085515 | $14K |
| 11 | 1578969465 | $14K |
| 12 | 1912235607 | $14K |
| 13 | 1902922792 | $12K |
| 14 | 1598012429 | $11K |
| 15 | 1790083723 | $11K |
| 16 | 1598030181 | $10K |
| 17 | 1659765204 | $6K |
| 18 | 1942317656 | $5K |
| 19 | 1396927638 | $5K |
| 20 | 1780827162 | $5K |
Showing top 20 of 52 providers billing this code