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#5661 of 11K

95940

HCPCS Procedure Code

HCPCS code 95940 is the #5,661 most-billed Medicaid procedure code, with $159K in payments across 2,616 claims from 2018–2024. The national median cost per claim is $149.65. Costs vary widely — the 90th percentile is $307.61 per claim, 2.1× the median.

Total Paid

$159K

0.00% of all spending

Total Claims

2,616

Providers

16

Avg Cost/Claim

$61

National Cost Distribution

How much do providers bill per claim for 95940? Based on 12 providers billing this code nationally.

Median

$149.65

Average

$179.51

Std Dev

$250.56

Max

$917.65

Percentile Distribution (Cost per Claim)

p10
$22.36
p25
$26.59
Median
$149.65
p75
$166.27
p90
$307.61
p95
$589.27
p99
$851.97

50% of providers bill between $26.59 and $166.27 per claim for this code.

90% bill between $22.36 and $307.61.

Top 1% bill above $851.97.

About This Procedure

HCPCS code 95940 was billed by 16 providers across 2,616 claims, totaling $159K in Medicaid payments from 2018–2024. This code was used for 2,391 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$149.65

Providers Billing

12

National Spending

$159K

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95940

#ProviderTotal Paid
11659765204$58K
21013123231$27K
31780066373$23K
41033866421$16K
51922303718$12K
61831498518$9K
71649372673$7K
81669499414$3K
91679724827$2K
101164810271$1K
11The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$522
121164941381$113
131598868655$0
141043233984$0
151144210253$0
16Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$0

Showing top 16 of 16 providers billing this code