95990
HCPCS Procedure Code
HCPCS code 95990 is the #4,136 most-billed Medicaid procedure code, with $817K in payments across 6,367 claims from 2018–2024. The national median cost per claim is $27.97. Costs vary widely — the 90th percentile is $209.50 per claim, 7.5× the median.
Total Paid
$817K
0.00% of all spending
Total Claims
6,367
Providers
16
Avg Cost/Claim
$128
National Cost Distribution
How much do providers bill per claim for 95990? Based on 15 providers billing this code nationally.
Median
$27.97
Average
$115.38
Std Dev
$216.01
Max
$855.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.23 and $112.92 per claim for this code.
90% bill between $8.50 and $209.50.
Top 1% bill above $766.91.
About This Procedure
HCPCS code 95990 was billed by 16 providers across 6,367 claims, totaling $817K in Medicaid payments from 2018–2024. This code was used for 4,911 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.97
Providers Billing
15
National Spending
$817K
Avg/Median Ratio
4.13×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 95990
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114958584 | $523K |
| 2 | 1679514509 | $164K |
| 3 | 1598875460 | $37K |
| 4 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $25K |
| 5 | 1770528994 | $20K |
| 6 | 1639135643 | $16K |
| 7 | 1639523004 | $14K |
| 8 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $7K |
| 9 | 1053373480 | $5K |
| 10 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $3K |
| 11 | 1275580318 | $2K |
| 12 | 1033153895 | $822 |
| 13 | 1831236272 | $305 |
| 14 | 1669571113 | $118 |
| 15 | 1518016823 | $81 |
| 16 | Ihc Health Services, Inc. Salt Lake City, UT · Psychiatric Unit | $0 |
Showing top 16 of 16 providers billing this code