96522
HCPCS Procedure Code
HCPCS code 96522 is the #5,500 most-billed Medicaid procedure code, with $186K in payments across 2,806 claims from 2018–2024. The national median cost per claim is $52.57.
Total Paid
$186K
0.00% of all spending
Total Claims
2,806
Providers
7
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for 96522? Based on 7 providers billing this code nationally.
Median
$52.57
Average
$53.27
Std Dev
$23.94
Max
$102.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.73 and $55.94 per claim for this code.
90% bill between $34.06 and $75.12.
Top 1% bill above $99.50.
About This Procedure
HCPCS code 96522 was billed by 7 providers across 2,806 claims, totaling $186K in Medicaid payments from 2018–2024. This code was used for 2,151 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.57
Providers Billing
7
National Spending
$186K
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96522
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1659541696 | $81K |
| 2 | 1295756641 | $45K |
| 3 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $43K |
| 4 | 1194704742 | $6K |
| 5 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $5K |
| 6 | 1124193891 | $5K |
| 7 | 1598709388 | $1K |
Showing top 7 of 7 providers billing this code