95972
HCPCS Procedure Code
HCPCS code 95972 is the #6,218 most-billed Medicaid procedure code, with $83K in payments across 2,124 claims from 2018–2024. The national median cost per claim is $23.51. Costs vary widely — the 90th percentile is $64.33 per claim, 2.7× the median.
Total Paid
$83K
0.00% of all spending
Total Claims
2,124
Providers
13
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 95972? Based on 12 providers billing this code nationally.
Median
$23.51
Average
$38.69
Std Dev
$50.18
Max
$186.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.55 and $38.53 per claim for this code.
90% bill between $7.08 and $64.33.
Top 1% bill above $173.18.
About This Procedure
HCPCS code 95972 was billed by 13 providers across 2,124 claims, totaling $83K in Medicaid payments from 2018–2024. This code was used for 1,795 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.51
Providers Billing
12
National Spending
$83K
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95972
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1396124293 | $66K |
| 2 | 1659431443 | $6K |
| 3 | 1629053806 | $5K |
| 4 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $3K |
| 5 | 1356569388 | $920 |
| 6 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $389 |
| 7 | 1316036353 | $308 |
| 8 | 1215003066 | $262 |
| 9 | 1548327273 | $223 |
| 10 | 1770808883 | $140 |
| 11 | 1275564098 | $85 |
| 12 | 1336319086 | $23 |
| 13 | 1154481984 | $0 |
Showing top 13 of 13 providers billing this code