95980
HCPCS Procedure Code
HCPCS code 95980 is the #6,674 most-billed Medicaid procedure code, with $49K in payments across 145 claims from 2018–2024. The national median cost per claim is $20.75. Costs vary widely — the 90th percentile is $542.63 per claim, 26.2× the median.
Total Paid
$49K
0.00% of all spending
Total Claims
145
Providers
4
Avg Cost/Claim
$337
National Cost Distribution
How much do providers bill per claim for 95980? Based on 4 providers billing this code nationally.
Median
$20.75
Average
$204.23
Std Dev
$374.50
Max
$765.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.31 and $207.67 per claim for this code.
90% bill between $12.62 and $542.63.
Top 1% bill above $743.60.
About This Procedure
HCPCS code 95980 was billed by 4 providers across 145 claims, totaling $49K in Medicaid payments from 2018–2024. This code was used for 124 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.75
Providers Billing
4
National Spending
$49K
Avg/Median Ratio
9.84×
Highly skewed — outlier-driven
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.