95957
HCPCS Procedure Code
HCPCS code 95957 is the #1,971 most-billed Medicaid procedure code, with $10.7M in payments across 130K claims from 2018–2024. The national median cost per claim is $66.75. Costs vary widely — the 90th percentile is $203.32 per claim, 3.0× the median.
Total Paid
$10.7M
0.00% of all spending
Total Claims
130K
Providers
327
Avg Cost/Claim
$82
National Cost Distribution
How much do providers bill per claim for 95957? Based on 283 providers billing this code nationally.
Median
$66.75
Average
$91.06
Std Dev
$85.17
Max
$776.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.45 and $136.08 per claim for this code.
90% bill between $9.13 and $203.32.
Top 1% bill above $306.91.
About This Procedure
HCPCS code 95957 was billed by 327 providers across 130K claims, totaling $10.7M in Medicaid payments from 2018–2024. This code was used for 93K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$66.75
Providers Billing
283
National Spending
$10.7M
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95957
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164594149 | $1.6M |
| 2 | 1013047042 | $750K |
| 3 | 1417446691 | $583K |
| 4 | 1407854060 | $308K |
| 5 | 1275949638 | $289K |
| 6 | 1407107550 | $228K |
| 7 | 1124573522 | $219K |
| 8 | 1831153139 | $212K |
| 9 | 1912567520 | $203K |
| 10 | 1891918348 | $202K |
| 11 | 1700943172 | $195K |
| 12 | 1922386150 | $180K |
| 13 | 1619100377 | $178K |
| 14 | 1548508252 | $168K |
| 15 | 1548538200 | $149K |
| 16 | 1952452583 | $141K |
| 17 | 1336277540 | $137K |
| 18 | 1609360254 | $132K |
| 19 | 1346510013 | $124K |
| 20 | 1952469710 | $116K |
Showing top 20 of 327 providers billing this code