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#4569 of 11K

95950

HCPCS Procedure Code

HCPCS code 95950 is the #4,569 most-billed Medicaid procedure code, with $509K in payments across 581 claims from 2018–2024. The national median cost per claim is $150.64. Costs vary widely — the 90th percentile is $1,249.26 per claim, 8.3× the median.

Total Paid

$509K

0.00% of all spending

Total Claims

581

Providers

4

Avg Cost/Claim

$876

National Cost Distribution

How much do providers bill per claim for 95950? Based on 4 providers billing this code nationally.

Median

$150.64

Average

$519.16

Std Dev

$790.48

Max

$1,702.54

Percentile Distribution (Cost per Claim)

p10
$83.89
p25
$100.46
Median
$150.64
p75
$569.34
p90
$1,249.26
p95
$1,475.90
p99
$1,657.21

50% of providers bill between $100.46 and $569.34 per claim for this code.

90% bill between $83.89 and $1,249.26.

Top 1% bill above $1,657.21.

About This Procedure

HCPCS code 95950 was billed by 4 providers across 581 claims, totaling $509K in Medicaid payments from 2018–2024. This code was used for 289 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$150.64

Providers Billing

4

National Spending

$509K

Avg/Median Ratio

3.45×

Highly skewed — outlier-driven

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.