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#5797 of 11K

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)

p10
$3.69
p25
$17.78
Median
$27.35
p75
$45.38
p90
$55.04
p95
$60.89
p99
$65.57

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

#ProviderTotal Paid
11174916522$102K
21124003488$20K
31699122762$4K
41083664221$4K
5Colusa Indian Community Council

Colusa, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$2K
61932186764$1K
71801893284$1K
81508179052$697
91033125844$482
101013013002$445
111477532588$133
121033306204$0
131578083572$0
141255369856$0

Showing top 14 of 14 providers billing this code