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#1521 of 11K

96139

HCPCS Procedure Code

HCPCS code 96139 is the #1,521 most-billed Medicaid procedure code, with $20.3M in payments across 196K claims from 2018–2024. The national median cost per claim is $97.14. Costs vary widely — the 90th percentile is $231.57 per claim, 2.4× the median.

Total Paid

$20.3M

0.00% of all spending

Total Claims

196K

Providers

415

Avg Cost/Claim

$104

National Cost Distribution

How much do providers bill per claim for 96139? Based on 361 providers billing this code nationally.

Median

$97.14

Average

$117.96

Std Dev

$98.95

Max

$694.22

Percentile Distribution (Cost per Claim)

p10
$11.57
p25
$37.66
Median
$97.14
p75
$176.37
p90
$231.57
p95
$306.12
p99
$395.11

50% of providers bill between $37.66 and $176.37 per claim for this code.

90% bill between $11.57 and $231.57.

Top 1% bill above $395.11.

About This Procedure

HCPCS code 96139 was billed by 415 providers across 196K claims, totaling $20.3M in Medicaid payments from 2018–2024. This code was used for 155K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$97.14

Providers Billing

361

National Spending

$20.3M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96139

#ProviderTotal Paid
11619553963$1.4M
21821324815$747K
31144314576$726K
41457450124$707K
51164451399$654K
61881087369$650K
71033221783$553K
81962807644$447K
91831409663$447K
101750451746$410K
111427108323$388K
121942749387$379K
131477721876$347K
141760434641$318K
151174169361$309K
161285913350$309K
171053793059$287K
181154508414$269K
191588993091$245K
20University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$240K

Showing top 20 of 415 providers billing this code