95999
HCPCS Procedure Code
HCPCS code 95999 is the #5,797 most-billed Medicaid procedure code, with $136K in payments across 3,351 claims from 2018–2024. The national median cost per claim is $27.35. Costs vary widely — the 90th percentile is $55.04 per claim, 2.0× the median.
Total Paid
$136K
0.00% of all spending
Total Claims
3,351
Providers
14
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for 95999? Based on 11 providers billing this code nationally.
Median
$27.35
Average
$30.25
Std Dev
$21.03
Max
$66.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.78 and $45.38 per claim for this code.
90% bill between $3.69 and $55.04.
Top 1% bill above $65.57.
About This Procedure
HCPCS code 95999 was billed by 14 providers across 3,351 claims, totaling $136K in Medicaid payments from 2018–2024. This code was used for 3,112 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.35
Providers Billing
11
National Spending
$136K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95999
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1174916522 | $102K |
| 2 | 1124003488 | $20K |
| 3 | 1699122762 | $4K |
| 4 | 1083664221 | $4K |
| 5 | Colusa Indian Community Council Colusa, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $2K |
| 6 | 1932186764 | $1K |
| 7 | 1801893284 | $1K |
| 8 | 1508179052 | $697 |
| 9 | 1033125844 | $482 |
| 10 | 1013013002 | $445 |
| 11 | 1477532588 | $133 |
| 12 | 1033306204 | $0 |
| 13 | 1578083572 | $0 |
| 14 | 1255369856 | $0 |
Showing top 14 of 14 providers billing this code