96521
HCPCS Procedure Code
HCPCS code 96521 is the #2,849 most-billed Medicaid procedure code, with $3.3M in payments across 39K claims from 2018–2024. The national median cost per claim is $32.64. Costs vary widely — the 90th percentile is $107.60 per claim, 3.3× the median.
Total Paid
$3.3M
0.00% of all spending
Total Claims
39K
Providers
41
Avg Cost/Claim
$86
National Cost Distribution
How much do providers bill per claim for 96521? Based on 38 providers billing this code nationally.
Median
$32.64
Average
$45.68
Std Dev
$39.78
Max
$143.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.47 and $76.22 per claim for this code.
90% bill between $3.68 and $107.60.
Top 1% bill above $131.60.
About This Procedure
HCPCS code 96521 was billed by 41 providers across 39K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.64
Providers Billing
38
National Spending
$3.3M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96521
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639403330 | $2.2M |
| 2 | 1790706992 | $238K |
| 3 | 1902191992 | $184K |
| 4 | 1790130573 | $139K |
| 5 | 1366659849 | $88K |
| 6 | 1437109733 | $80K |
| 7 | 1588805188 | $48K |
| 8 | 1093263055 | $42K |
| 9 | 1700017118 | $36K |
| 10 | 1053373480 | $36K |
| 11 | 1619581246 | $31K |
| 12 | 1104984293 | $24K |
| 13 | 1063177228 | $22K |
| 14 | 1548248032 | $22K |
| 15 | 1831300805 | $22K |
| 16 | 1407100183 | $20K |
| 17 | 1225525256 | $18K |
| 18 | 1669102612 | $16K |
| 19 | 1568059160 | $16K |
| 20 | 1831656354 | $12K |
Showing top 20 of 41 providers billing this code