96133
HCPCS Procedure Code
HCPCS code 96133 is the #1,023 most-billed Medicaid procedure code, with $47.4M in payments across 212K claims from 2018–2024. The national median cost per claim is $185.94. Costs vary widely — the 90th percentile is $444.15 per claim, 2.4× the median.
Total Paid
$47.4M
0.00% of all spending
Total Claims
212K
Providers
516
Avg Cost/Claim
$223
National Cost Distribution
How much do providers bill per claim for 96133? Based on 499 providers billing this code nationally.
Median
$185.94
Average
$224.81
Std Dev
$188.17
Max
$1,364.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $88.16 and $301.13 per claim for this code.
90% bill between $41.24 and $444.15.
Top 1% bill above $919.57.
About This Procedure
HCPCS code 96133 was billed by 516 providers across 212K claims, totaling $47.4M in Medicaid payments from 2018–2024. This code was used for 160K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$185.94
Providers Billing
499
National Spending
$47.4M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96133
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982074969 | $4.0M |
| 2 | 1366065351 | $3.4M |
| 3 | 1881087369 | $2.3M |
| 4 | 1437320892 | $1.6M |
| 5 | 1821324815 | $1.4M |
| 6 | 1285913350 | $1.0M |
| 7 | 1689769622 | $1.0M |
| 8 | 1326152711 | $889K |
| 9 | 1710162888 | $820K |
| 10 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $776K |
| 11 | 1801874573 | $750K |
| 12 | 1962807644 | $695K |
| 13 | 1598434300 | $647K |
| 14 | 1104993864 | $586K |
| 15 | 1568895381 | $545K |
| 16 | 1417972647 | $522K |
| 17 | 1174169361 | $521K |
| 18 | 1477721876 | $496K |
| 19 | 1265066146 | $474K |
| 20 | 1114488624 | $454K |
Showing top 20 of 516 providers billing this code