95943
HCPCS Procedure Code
HCPCS code 95943 is the #3,476 most-billed Medicaid procedure code, with $1.6M in payments across 32K claims from 2018–2024. The national median cost per claim is $39.91. Costs vary widely — the 90th percentile is $99.88 per claim, 2.5× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
32K
Providers
190
Avg Cost/Claim
$50
National Cost Distribution
How much do providers bill per claim for 95943? Based on 181 providers billing this code nationally.
Median
$39.91
Average
$44.73
Std Dev
$34.34
Max
$154.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.72 and $66.57 per claim for this code.
90% bill between $5.65 and $99.88.
Top 1% bill above $121.89.
About This Procedure
HCPCS code 95943 was billed by 190 providers across 32K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.91
Providers Billing
181
National Spending
$1.6M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95943
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083672133 | $121K |
| 2 | 1619977030 | $102K |
| 3 | 1609921378 | $88K |
| 4 | 1891834552 | $72K |
| 5 | 1700914033 | $68K |
| 6 | 1184766107 | $57K |
| 7 | 1649538109 | $56K |
| 8 | 1275916652 | $54K |
| 9 | 1073946588 | $47K |
| 10 | 1255449229 | $46K |
| 11 | 1356831309 | $44K |
| 12 | 1124003488 | $41K |
| 13 | 1962889451 | $39K |
| 14 | 1891190195 | $39K |
| 15 | 1306809397 | $36K |
| 16 | 1306946579 | $35K |
| 17 | 1033125844 | $35K |
| 18 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $33K |
| 19 | 1770861031 | $32K |
| 20 | 1831115179 | $30K |
Showing top 20 of 190 providers billing this code