95971
HCPCS Procedure Code
HCPCS code 95971 is the #5,894 most-billed Medicaid procedure code, with $123K in payments across 4,548 claims from 2018–2024. The national median cost per claim is $26.95.
Total Paid
$123K
0.00% of all spending
Total Claims
4,548
Providers
14
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 95971? Based on 13 providers billing this code nationally.
Median
$26.95
Average
$24.58
Std Dev
$13.57
Max
$45.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.46 and $33.21 per claim for this code.
90% bill between $5.61 and $40.09.
Top 1% bill above $45.06.
About This Procedure
HCPCS code 95971 was billed by 14 providers across 4,548 claims, totaling $123K in Medicaid payments from 2018–2024. This code was used for 2,653 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.95
Providers Billing
13
National Spending
$123K
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95971
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1831381664 | $41K |
| 2 | 1043300114 | $32K |
| 3 | 1396124293 | $23K |
| 4 | 1023064482 | $7K |
| 5 | 1922099811 | $7K |
| 6 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $4K |
| 7 | 1811184047 | $2K |
| 8 | 1265727762 | $2K |
| 9 | 1215437249 | $2K |
| 10 | 1427022649 | $1K |
| 11 | 1649378241 | $513 |
| 12 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $301 |
| 13 | 1114013315 | $26 |
| 14 | 1861422941 | $0 |
Showing top 14 of 14 providers billing this code