96380
HCPCS Procedure Code
HCPCS code 96380 is the #4,609 most-billed Medicaid procedure code, with $489K in payments across 47K claims from 2018–2024. The national median cost per claim is $16.33.
Total Paid
$489K
0.00% of all spending
Total Claims
47K
Providers
611
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 96380? Based on 525 providers billing this code nationally.
Median
$16.33
Average
$15.23
Std Dev
$6.76
Max
$66.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.36 and $19.09 per claim for this code.
90% bill between $5.70 and $21.17.
Top 1% bill above $35.14.
About This Procedure
HCPCS code 96380 was billed by 611 providers across 47K claims, totaling $489K in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.33
Providers Billing
525
National Spending
$489K
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96380
| # | Provider | Total Paid |
|---|---|---|
| 1 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $25K |
| 2 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $11K |
| 3 | 1477742807 | $9K |
| 4 | 1417004003 | $9K |
| 5 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $8K |
| 6 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $8K |
| 7 | 1508859729 | $7K |
| 8 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $6K |
| 9 | 1144744301 | $6K |
| 10 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $6K |
| 11 | Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics | $6K |
| 12 | 1164471116 | $5K |
| 13 | 1952320061 | $5K |
| 14 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $5K |
| 15 | 1225498231 | $5K |
| 16 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $5K |
| 17 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $4K |
| 18 | Wakemed Raleigh, NC · General Acute Care Hospital | $4K |
| 19 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $4K |
| 20 | 1326695255 | $4K |
Showing top 20 of 611 providers billing this code