96105
HCPCS Procedure Code
HCPCS code 96105 is the #6,794 most-billed Medicaid procedure code, with $42K in payments across 5K claims from 2018–2024. The national median cost per claim is $34.10.
Total Paid
$42K
0.00% of all spending
Total Claims
5K
Providers
7
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 96105? Based on 7 providers billing this code nationally.
Median
$34.10
Average
$28.02
Std Dev
$21.58
Max
$55.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.16 and $44.15 per claim for this code.
90% bill between $5.41 and $51.67.
Top 1% bill above $54.91.
About This Procedure
HCPCS code 96105 was billed by 7 providers across 5K claims, totaling $42K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.10
Providers Billing
7
National Spending
$42K
Avg/Median Ratio
0.82×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96105
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1609360254 | $16K |
| 2 | 1144852567 | $9K |
| 3 | 1043673544 | $8K |
| 4 | 1861798068 | $6K |
| 5 | 1043406978 | $2K |
| 6 | 1932663507 | $1K |
| 7 | 1740434216 | $75 |
Showing top 7 of 7 providers billing this code