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#8139 of 11K

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)

p10
$19.57
p25
$24.76
Median
$33.41
p75
$42.06
p90
$47.24
p95
$48.97
p99
$50.36

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.