96376
HCPCS Procedure Code
HCPCS code 96376 is the #995 most-billed Medicaid procedure code, with $49.5M in payments across 5.6M claims from 2018–2024. The national median cost per claim is $3.19. Costs vary widely — the 90th percentile is $37.00 per claim, 11.6× the median.
Total Paid
$49.5M
0.00% of all spending
Total Claims
5.6M
Providers
2,285
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 96376? Based on 1,930 providers billing this code nationally.
Median
$3.19
Average
$12.97
Std Dev
$27.04
Max
$447.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.64 and $13.79 per claim for this code.
90% bill between $0.09 and $37.00.
Top 1% bill above $108.98.
About This Procedure
HCPCS code 96376 was billed by 2,285 providers across 5.6M claims, totaling $49.5M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.19
Providers Billing
1,930
National Spending
$49.5M
Avg/Median Ratio
4.07×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 96376
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $1.3M |
| 2 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $1.1M |
| 3 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $892K |
| 4 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $852K |
| 5 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $773K |
| 6 | University Hospital Newark, NJ · General Acute Care Hospital | $730K |
| 7 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $659K |
| 8 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $596K |
| 9 | 1447231956 | $591K |
| 10 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $558K |
| 11 | 1538244918 | $553K |
| 12 | 1427055821 | $553K |
| 13 | 1073518007 | $548K |
| 14 | 1235196510 | $544K |
| 15 | 1356390264 | $533K |
| 16 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $490K |
| 17 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $488K |
| 18 | 1265539498 | $487K |
| 19 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $439K |
| 20 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $434K |
Showing top 20 of 2,285 providers billing this code