96369
HCPCS Procedure Code
HCPCS code 96369 is the #4,567 most-billed Medicaid procedure code, with $510K in payments across 5K claims from 2018–2024. The national median cost per claim is $70.59. Costs vary widely — the 90th percentile is $226.21 per claim, 3.2× the median.
Total Paid
$510K
0.00% of all spending
Total Claims
5K
Providers
8
Avg Cost/Claim
$97
National Cost Distribution
How much do providers bill per claim for 96369? Based on 7 providers billing this code nationally.
Median
$70.59
Average
$114.61
Std Dev
$121.37
Max
$379.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $60.40 and $108.07 per claim for this code.
90% bill between $41.95 and $226.21.
Top 1% bill above $364.08.
About This Procedure
HCPCS code 96369 was billed by 8 providers across 5K claims, totaling $510K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$70.59
Providers Billing
7
National Spending
$510K
Avg/Median Ratio
1.62×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96369
| # | Provider | Total Paid |
|---|---|---|
| 1 | Optum Women's And Children's Health, Llc Marietta, GA · Home Health | $182K |
| 2 | 1700512365 | $181K |
| 3 | 1841873288 | $73K |
| 4 | 1316925506 | $41K |
| 5 | 1023363348 | $15K |
| 6 | 1871633099 | $13K |
| 7 | 1407405855 | $5K |
| 8 | 1265540256 | $0 |
Showing top 8 of 8 providers billing this code