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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1659765204 | $58K |
| 2 | 1013123231 | $27K |
| 3 | 1780066373 | $23K |
| 4 | 1033866421 | $16K |
| 5 | 1922303718 | $12K |
| 6 | 1831498518 | $9K |
| 7 | 1649372673 | $7K |
| 8 | 1669499414 | $3K |
| 9 | 1679724827 | $2K |
| 10 | 1164810271 | $1K |
| 11 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $522 |
| 12 | 1164941381 | $113 |
| 13 | 1598868655 | $0 |
| 14 | 1043233984 | $0 |
| 15 | 1144210253 | $0 |
| 16 | Regents 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