96405
HCPCS Procedure Code
HCPCS code 96405 is the #8,139 most-billed Medicaid procedure code, with $6K in payments across 127 claims from 2018–2024. The national median cost per claim is $33.41.
Total Paid
$6K
0.00% of all spending
Total Claims
127
Providers
2
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 96405? Based on 2 providers billing this code nationally.
Median
$33.41
Average
$33.41
Std Dev
$24.46
Max
$50.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.76 and $42.06 per claim for this code.
90% bill between $19.57 and $47.24.
Top 1% bill above $50.36.
About This Procedure
HCPCS code 96405 was billed by 2 providers across 127 claims, totaling $6K in Medicaid payments from 2018–2024. This code was used for 126 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.41
Providers Billing
2
National Spending
$6K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.