95970
HCPCS Procedure Code
HCPCS code 95970 is the #5,902 most-billed Medicaid procedure code, with $122K in payments across 6,807 claims from 2018–2024. The national median cost per claim is $11.04. Costs vary widely — the 90th percentile is $33.51 per claim, 3.0× the median.
Total Paid
$122K
0.00% of all spending
Total Claims
6,807
Providers
71
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 95970? Based on 69 providers billing this code nationally.
Median
$11.04
Average
$16.86
Std Dev
$17.99
Max
$105.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.31 and $19.61 per claim for this code.
90% bill between $3.80 and $33.51.
Top 1% bill above $86.77.
About This Procedure
HCPCS code 95970 was billed by 71 providers across 6,807 claims, totaling $122K in Medicaid payments from 2018–2024. This code was used for 6,083 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.04
Providers Billing
69
National Spending
$122K
Avg/Median Ratio
1.53×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95970
| # | Provider | Total Paid |
|---|---|---|
| 1 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $25K |
| 2 | 1962498568 | $12K |
| 3 | State University Of Iowa Iowa City, IA · General Acute Care Hospital | $9K |
| 4 | 1578792271 | $9K |
| 5 | 1063453991 | $7K |
| 6 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $6K |
| 7 | 1245277631 | $6K |
| 8 | 1891805727 | $5K |
| 9 | 1104875970 | $4K |
| 10 | 1376642900 | $4K |
| 11 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $4K |
| 12 | 1265727762 | $3K |
| 13 | 1356307581 | $2K |
| 14 | University Of California Irvine Orange, CA · General Acute Care Hospital | $2K |
| 15 | 1477578201 | $2K |
| 16 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $1K |
| 17 | 1457729733 | $1K |
| 18 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1K |
| 19 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $1K |
| 20 | 1386089415 | $1K |
Showing top 20 of 71 providers billing this code