95955
HCPCS Procedure Code
HCPCS code 95955 is the #4,732 most-billed Medicaid procedure code, with $428K in payments across 18K claims from 2018–2024. The national median cost per claim is $31.17.
Total Paid
$428K
0.00% of all spending
Total Claims
18K
Providers
22
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 95955? Based on 20 providers billing this code nationally.
Median
$31.17
Average
$34.17
Std Dev
$22.11
Max
$98.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.85 and $38.12 per claim for this code.
90% bill between $15.95 and $49.33.
Top 1% bill above $95.26.
About This Procedure
HCPCS code 95955 was billed by 22 providers across 18K claims, totaling $428K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.17
Providers Billing
20
National Spending
$428K
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95955
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134307531 | $140K |
| 2 | 1508231267 | $63K |
| 3 | 1790083723 | $50K |
| 4 | 1174916522 | $45K |
| 5 | 1972551893 | $41K |
| 6 | 1336492800 | $34K |
| 7 | 1871830380 | $12K |
| 8 | 1740403658 | $11K |
| 9 | 1659765204 | $8K |
| 10 | 1659640381 | $7K |
| 11 | 1265871925 | $6K |
| 12 | 1043233984 | $2K |
| 13 | 1669499414 | $2K |
| 14 | 1679724827 | $2K |
| 15 | Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital | $1K |
| 16 | 1548739006 | $805 |
| 17 | 1518384700 | $598 |
| 18 | 1902922792 | $551 |
| 19 | 1548826803 | $398 |
| 20 | 1447236427 | $204 |
Showing top 20 of 22 providers billing this code