96155
HCPCS Procedure Code
HCPCS code 96155 is the #5,462 most-billed Medicaid procedure code, with $194K in payments across 6K claims from 2018–2024. The national median cost per claim is $34.72. Costs vary widely — the 90th percentile is $92.32 per claim, 2.7× the median.
Total Paid
$194K
0.00% of all spending
Total Claims
6K
Providers
15
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for 96155? Based on 13 providers billing this code nationally.
Median
$34.72
Average
$48.49
Std Dev
$31.30
Max
$105.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.59 and $77.07 per claim for this code.
90% bill between $16.93 and $92.32.
Top 1% bill above $103.87.
About This Procedure
HCPCS code 96155 was billed by 15 providers across 6K claims, totaling $194K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.72
Providers Billing
13
National Spending
$194K
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96155
| # | Provider | Total Paid |
|---|---|---|
| 1 | Hopebridge, Llc Kokomo, IN · Assistant Behavior Analyst | $112K |
| 2 | 1447562434 | $27K |
| 3 | 1427154814 | $16K |
| 4 | 1689776718 | $9K |
| 5 | 1295040525 | $8K |
| 6 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $8K |
| 7 | 1770706160 | $6K |
| 8 | 1033663430 | $4K |
| 9 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $2K |
| 10 | 1669513404 | $1K |
| 11 | 1336245828 | $813 |
| 12 | 1003199712 | $797 |
| 13 | Vav Operations Llc South Bend, IN · Community/Behavioral Health | $278 |
| 14 | 1999999976 | $0 |
| 15 | 1043431927 | $0 |
Showing top 15 of 15 providers billing this code