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#6775 of 11K

96001

HCPCS Procedure Code

HCPCS code 96001 is the #6,775 most-billed Medicaid procedure code, with $43K in payments across 1,911 claims from 2018–2024. The national median cost per claim is $23.51.

Total Paid

$43K

0.00% of all spending

Total Claims

1,911

Providers

8

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 96001? Based on 7 providers billing this code nationally.

Median

$23.51

Average

$17.89

Std Dev

$13.07

Max

$35.53

Percentile Distribution (Cost per Claim)

p10
$1.42
p25
$7.60
Median
$23.51
p75
$25.20
p90
$29.77
p95
$32.65
p99
$34.96

50% of providers bill between $7.60 and $25.20 per claim for this code.

90% bill between $1.42 and $29.77.

Top 1% bill above $34.96.

About This Procedure

HCPCS code 96001 was billed by 8 providers across 1,911 claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 1,662 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.51

Providers Billing

7

National Spending

$43K

Avg/Median Ratio

0.76×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96001

#ProviderTotal Paid
11932372638$32K
21326187097$4K
31578046918$4K
41992848857$3K
51366520371$746
61528030269$79
71033150818$22
81669418992$0

Showing top 8 of 8 providers billing this code