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#5472 of 11K

95984

HCPCS Procedure Code

HCPCS code 95984 is the #5,472 most-billed Medicaid procedure code, with $191K in payments across 6,397 claims from 2018–2024. The national median cost per claim is $34.01.

Total Paid

$191K

0.00% of all spending

Total Claims

6,397

Providers

5

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 95984? Based on 4 providers billing this code nationally.

Median

$34.01

Average

$34.84

Std Dev

$4.87

Max

$41.43

Percentile Distribution (Cost per Claim)

p10
$30.84
p25
$32.25
Median
$34.01
p75
$36.60
p90
$39.50
p95
$40.47
p99
$41.24

50% of providers bill between $32.25 and $36.60 per claim for this code.

90% bill between $30.84 and $39.50.

Top 1% bill above $41.24.

About This Procedure

HCPCS code 95984 was billed by 5 providers across 6,397 claims, totaling $191K in Medicaid payments from 2018–2024. This code was used for 782 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.01

Providers Billing

4

National Spending

$191K

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95984

#ProviderTotal Paid
11235677477$177K
21588389944$8K
31023721065$3K
4Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$2K
51013631878$0

Showing top 5 of 5 providers billing this code