Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5878 of 11K

96373

HCPCS Procedure Code

HCPCS code 96373 is the #5,878 most-billed Medicaid procedure code, with $126K in payments across 9,036 claims from 2018–2024. The national median cost per claim is $11.35.

Total Paid

$126K

0.00% of all spending

Total Claims

9,036

Providers

32

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 96373? Based on 26 providers billing this code nationally.

Median

$11.35

Average

$17.00

Std Dev

$30.99

Max

$155.73

Percentile Distribution (Cost per Claim)

p10
$1.40
p25
$5.12
Median
$11.35
p75
$13.52
p90
$16.99
p95
$56.10
p99
$133.84

50% of providers bill between $5.12 and $13.52 per claim for this code.

90% bill between $1.40 and $16.99.

Top 1% bill above $133.84.

About This Procedure

HCPCS code 96373 was billed by 32 providers across 9,036 claims, totaling $126K in Medicaid payments from 2018–2024. This code was used for 8,356 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.35

Providers Billing

26

National Spending

$126K

Avg/Median Ratio

1.50×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96373

#ProviderTotal Paid
11962750224$41K
2State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$28K
31396274296$19K
41194864769$7K
51154321545$7K
61124721410$7K
71548234073$4K
81194797787$3K
91689745069$3K
101265734248$1K
111275096570$1K
121881988814$999
131598701609$696
141508271503$559
151376949503$278
161861955395$226
171174955256$196
181568630077$173
19Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$137
201902982739$135

Showing top 20 of 32 providers billing this code