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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932372638 | $32K |
| 2 | 1326187097 | $4K |
| 3 | 1578046918 | $4K |
| 4 | 1992848857 | $3K |
| 5 | 1366520371 | $746 |
| 6 | 1528030269 | $79 |
| 7 | 1033150818 | $22 |
| 8 | 1669418992 | $0 |
Showing top 8 of 8 providers billing this code