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#1971 of 11K

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)

p10
$9.13
p25
$27.45
Median
$66.75
p75
$136.08
p90
$203.32
p95
$241.82
p99
$306.91

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

#ProviderTotal Paid
11164594149$1.6M
21013047042$750K
31417446691$583K
41407854060$308K
51275949638$289K
61407107550$228K
71124573522$219K
81831153139$212K
91912567520$203K
101891918348$202K
111700943172$195K
121922386150$180K
131619100377$178K
141548508252$168K
151548538200$149K
161952452583$141K
171336277540$137K
181609360254$132K
191346510013$124K
201952469710$116K

Showing top 20 of 327 providers billing this code