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#2511 of 11K

96171

HCPCS Procedure Code

HCPCS code 96171 is the #2,511 most-billed Medicaid procedure code, with $5.2M in payments across 70K claims from 2018–2024. The national median cost per claim is $78.46.

Total Paid

$5.2M

0.00% of all spending

Total Claims

70K

Providers

19

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for 96171? Based on 17 providers billing this code nationally.

Median

$78.46

Average

$75.11

Std Dev

$41.40

Max

$149.19

Percentile Distribution (Cost per Claim)

p10
$28.87
p25
$40.20
Median
$78.46
p75
$106.05
p90
$128.27
p95
$145.16
p99
$148.38

50% of providers bill between $40.20 and $106.05 per claim for this code.

90% bill between $28.87 and $128.27.

Top 1% bill above $148.38.

About This Procedure

HCPCS code 96171 was billed by 19 providers across 70K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.46

Providers Billing

17

National Spending

$5.2M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96171

#ProviderTotal Paid
11629342746$1.4M
21184167652$963K
31982804290$867K
41700325685$749K
51952781411$520K
61225441520$187K
71033541438$140K
81114473220$100K
91174664742$97K
101538734637$67K
111437759107$59K
121730312257$34K
131679185839$27K
141003968546$17K
151134764376$13K
161265915805$783
171841573375$713
181811186208$0
191336245828$0

Showing top 19 of 19 providers billing this code