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)
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.