96379
HCPCS Procedure Code
HCPCS code 96379 is the #4,015 most-billed Medicaid procedure code, with $932K in payments across 120K claims from 2018–2024. The national median cost per claim is $5.19. Costs vary widely — the 90th percentile is $44.15 per claim, 8.5× the median.
Total Paid
$932K
0.00% of all spending
Total Claims
120K
Providers
47
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 96379? Based on 39 providers billing this code nationally.
Median
$5.19
Average
$15.78
Std Dev
$22.24
Max
$92.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.39 and $21.71 per claim for this code.
90% bill between $0.08 and $44.15.
Top 1% bill above $84.86.
About This Procedure
HCPCS code 96379 was billed by 47 providers across 120K claims, totaling $932K in Medicaid payments from 2018–2024. This code was used for 80K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.19
Providers Billing
39
National Spending
$932K
Avg/Median Ratio
3.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 96379
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124596382 | $175K |
| 2 | 1104906569 | $165K |
| 3 | 1588663769 | $89K |
| 4 | 1750384079 | $88K |
| 5 | 1659359446 | $71K |
| 6 | 1225038953 | $70K |
| 7 | 1811080526 | $47K |
| 8 | 1477554152 | $40K |
| 9 | 1316027709 | $31K |
| 10 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $31K |
| 11 | 1700829199 | $26K |
| 12 | 1841277704 | $24K |
| 13 | 1932197258 | $14K |
| 14 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $13K |
| 15 | 1750365375 | $10K |
| 16 | 1700949336 | $9K |
| 17 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $9K |
| 18 | 1699893982 | $5K |
| 19 | 1427181007 | $4K |
| 20 | 1811231285 | $3K |
Showing top 20 of 47 providers billing this code