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#921 of 11K

95951

HCPCS Procedure Code

HCPCS code 95951 is the #921 most-billed Medicaid procedure code, with $58.4M in payments across 257K claims from 2018–2024. The national median cost per claim is $183.28. Costs vary widely — the 90th percentile is $551.09 per claim, 3.0× the median.

Total Paid

$58.4M

0.01% of all spending

Total Claims

257K

Providers

421

Avg Cost/Claim

$227

National Cost Distribution

How much do providers bill per claim for 95951? Based on 415 providers billing this code nationally.

Median

$183.28

Average

$302.21

Std Dev

$529.65

Max

$7,193.97

Percentile Distribution (Cost per Claim)

p10
$79.94
p25
$120.98
Median
$183.28
p75
$307.92
p90
$551.09
p95
$887.26
p99
$1,469.62

50% of providers bill between $120.98 and $307.92 per claim for this code.

90% bill between $79.94 and $551.09.

Top 1% bill above $1,469.62.

About This Procedure

HCPCS code 95951 was billed by 421 providers across 257K claims, totaling $58.4M in Medicaid payments from 2018–2024. This code was used for 123K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$183.28

Providers Billing

415

National Spending

$58.4M

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 95951

#ProviderTotal Paid
11396985222$2.4M
21104122621$2.0M
3The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$1.8M
41932118056$1.6M
51013998830$1.3M
61942371620$1.3M
71225056252$1.2M
81578792271$1.2M
9State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$1.1M
10University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1.0M
111508266347$996K
121326100215$930K
13Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$895K
141326098005$771K
151346230968$766K
16Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$730K
171477503407$717K
181669499414$675K
19Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$667K
201457389033$665K

Showing top 20 of 421 providers billing this code