96127
Brief emotional/behavioral assessment, per standardized instrument
Brief emotional/behavioral assessment, per standardized instrument is the #487 most-billed Medicaid procedure code, with $191.1M in payments across 29.8M claims from 2018–2024. The national median cost per claim is $3.67. Costs vary widely — the 90th percentile is $14.35 per claim, 3.9× the median.
Total Paid
$191.1M
0.02% of all spending
Total Claims
29.8M
Providers
19K
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 96127? Based on 16K providers billing this code nationally.
Median
$3.67
Average
$6.65
Std Dev
$19.75
Max
$1,279.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.96 and $5.87 per claim for this code.
90% bill between $0.38 and $14.35.
Top 1% bill above $57.89.
About This Procedure
HCPCS code 96127 (Brief emotional/behavioral assessment, per standardized instrument) was billed by 19K providers across 29.8M claims, totaling $191.1M in Medicaid payments from 2018–2024. This code was used for 25.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.67
Providers Billing
16K
National Spending
$191.1M
Avg/Median Ratio
1.81×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96127
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $21.1M |
| 2 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $11.0M |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $5.5M |
| 4 | 1518042175 | $3.7M |
| 5 | Montefiore Medical Center Bronx, NY · Anesthesiology | $3.3M |
| 6 | The Toledo Hospital Toledo, OH · Pediatrics | $1.9M |
| 7 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $1.9M |
| 8 | 1174520084 | $1.4M |
| 9 | 1477554814 | $1.3M |
| 10 | 1407243223 | $1.2M |
| 11 | 1720194053 | $1.2M |
| 12 | 1245833565 | $1.1M |
| 13 | 1689669293 | $1.1M |
| 14 | 1801826680 | $968K |
| 15 | 1912281940 | $963K |
| 16 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $935K |
| 17 | 1790839405 | $814K |
| 18 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $718K |
| 19 | 1063586071 | $710K |
| 20 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $701K |
Showing top 20 of 19K providers billing this code