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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619553963 | $1.4M |
| 2 | 1821324815 | $747K |
| 3 | 1144314576 | $726K |
| 4 | 1457450124 | $707K |
| 5 | 1164451399 | $654K |
| 6 | 1881087369 | $650K |
| 7 | 1033221783 | $553K |
| 8 | 1962807644 | $447K |
| 9 | 1831409663 | $447K |
| 10 | 1750451746 | $410K |
| 11 | 1427108323 | $388K |
| 12 | 1942749387 | $379K |
| 13 | 1477721876 | $347K |
| 14 | 1760434641 | $318K |
| 15 | 1174169361 | $309K |
| 16 | 1285913350 | $309K |
| 17 | 1053793059 | $287K |
| 18 | 1154508414 | $269K |
| 19 | 1588993091 | $245K |
| 20 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $240K |
Showing top 20 of 415 providers billing this code