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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629342746 | $1.4M |
| 2 | 1184167652 | $963K |
| 3 | 1982804290 | $867K |
| 4 | 1700325685 | $749K |
| 5 | 1952781411 | $520K |
| 6 | 1225441520 | $187K |
| 7 | 1033541438 | $140K |
| 8 | 1114473220 | $100K |
| 9 | 1174664742 | $97K |
| 10 | 1538734637 | $67K |
| 11 | 1437759107 | $59K |
| 12 | 1730312257 | $34K |
| 13 | 1679185839 | $27K |
| 14 | 1003968546 | $17K |
| 15 | 1134764376 | $13K |
| 16 | 1265915805 | $783 |
| 17 | 1841573375 | $713 |
| 18 | 1811186208 | $0 |
| 19 | 1336245828 | $0 |
Showing top 19 of 19 providers billing this code