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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396985222 | $2.4M |
| 2 | 1104122621 | $2.0M |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.8M |
| 4 | 1932118056 | $1.6M |
| 5 | 1013998830 | $1.3M |
| 6 | 1942371620 | $1.3M |
| 7 | 1225056252 | $1.2M |
| 8 | 1578792271 | $1.2M |
| 9 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.1M |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.0M |
| 11 | 1508266347 | $996K |
| 12 | 1326100215 | $930K |
| 13 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $895K |
| 14 | 1326098005 | $771K |
| 15 | 1346230968 | $766K |
| 16 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $730K |
| 17 | 1477503407 | $717K |
| 18 | 1669499414 | $675K |
| 19 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $667K |
| 20 | 1457389033 | $665K |
Showing top 20 of 421 providers billing this code