96118
HCPCS Procedure Code
HCPCS code 96118 is the #1,821 most-billed Medicaid procedure code, with $13.3M in payments across 43K claims from 2018–2024. The national median cost per claim is $196.66. Costs vary widely — the 90th percentile is $669.72 per claim, 3.4× the median.
Total Paid
$13.3M
0.00% of all spending
Total Claims
43K
Providers
243
Avg Cost/Claim
$308
National Cost Distribution
How much do providers bill per claim for 96118? Based on 235 providers billing this code nationally.
Median
$196.66
Average
$278.17
Std Dev
$258.32
Max
$1,436.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $96.75 and $373.44 per claim for this code.
90% bill between $41.38 and $669.72.
Top 1% bill above $1,082.24.
About This Procedure
HCPCS code 96118 was billed by 243 providers across 43K claims, totaling $13.3M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$196.66
Providers Billing
235
National Spending
$13.3M
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96118
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982074969 | $1.7M |
| 2 | 1437320892 | $603K |
| 3 | 1336245828 | $577K |
| 4 | 1801874573 | $402K |
| 5 | 1821324815 | $395K |
| 6 | 1326152711 | $384K |
| 7 | 1619136983 | $308K |
| 8 | 1639177926 | $303K |
| 9 | 1477534089 | $292K |
| 10 | 1841397114 | $278K |
| 11 | 1417972647 | $244K |
| 12 | 1710102769 | $238K |
| 13 | 1427108323 | $223K |
| 14 | 1689031528 | $221K |
| 15 | 1659689222 | $219K |
| 16 | 1861668139 | $218K |
| 17 | 1235449661 | $202K |
| 18 | 1780658401 | $195K |
| 19 | 1730137753 | $186K |
| 20 | 1932117140 | $163K |
Showing top 20 of 243 providers billing this code