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#6207 of 11K

96000

HCPCS Procedure Code

HCPCS code 96000 is the #6,207 most-billed Medicaid procedure code, with $84K in payments across 238 claims from 2018–2024. The national median cost per claim is $215.61.

Total Paid

$84K

0.00% of all spending

Total Claims

238

Providers

2

Avg Cost/Claim

$351

National Cost Distribution

How much do providers bill per claim for 96000? Based on 2 providers billing this code nationally.

Median

$215.61

Average

$215.61

Std Dev

$292.69

Max

$422.57

Percentile Distribution (Cost per Claim)

p10
$50.03
p25
$112.12
Median
$215.61
p75
$319.09
p90
$381.18
p95
$401.87
p99
$418.43

50% of providers bill between $112.12 and $319.09 per claim for this code.

90% bill between $50.03 and $381.18.

Top 1% bill above $418.43.

About This Procedure

HCPCS code 96000 was billed by 2 providers across 238 claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 225 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$215.61

Providers Billing

2

National Spending

$84K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.