96102
HCPCS Procedure Code
HCPCS code 96102 is the #4,079 most-billed Medicaid procedure code, with $867K in payments across 21K claims from 2018–2024. The national median cost per claim is $30.11. Costs vary widely — the 90th percentile is $112.64 per claim, 3.7× the median.
Total Paid
$867K
0.00% of all spending
Total Claims
21K
Providers
84
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 96102? Based on 73 providers billing this code nationally.
Median
$30.11
Average
$49.65
Std Dev
$52.05
Max
$198.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.52 and $79.39 per claim for this code.
90% bill between $3.28 and $112.64.
Top 1% bill above $187.98.
About This Procedure
HCPCS code 96102 was billed by 84 providers across 21K claims, totaling $867K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.11
Providers Billing
73
National Spending
$867K
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96102
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $198K |
| 2 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $191K |
| 3 | 1235225335 | $53K |
| 4 | 1750451746 | $33K |
| 5 | 1306156138 | $28K |
| 6 | 1700943172 | $27K |
| 7 | 1164451399 | $24K |
| 8 | Fraser Child And Family Center Minneapolis, MN · Clinic/Center, Mental Health (Including Community Mental Health Center) | $21K |
| 9 | 1528263647 | $21K |
| 10 | 1275641888 | $19K |
| 11 | 1114044369 | $16K |
| 12 | 1346324696 | $15K |
| 13 | 1922129840 | $14K |
| 14 | 1114357084 | $13K |
| 15 | 1598802076 | $12K |
| 16 | 1376593442 | $11K |
| 17 | 1023462413 | $11K |
| 18 | 1457410292 | $11K |
| 19 | 1730431164 | $10K |
| 20 | 1447369673 | $10K |
Showing top 20 of 84 providers billing this code