96567
HCPCS Procedure Code
HCPCS code 96567 is the #4,491 most-billed Medicaid procedure code, with $553K in payments across 15K claims from 2018–2024. The national median cost per claim is $129.78. Costs vary widely — the 90th percentile is $469.79 per claim, 3.6× the median.
Total Paid
$553K
0.00% of all spending
Total Claims
15K
Providers
5
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 96567? Based on 4 providers billing this code nationally.
Median
$129.78
Average
$223.56
Std Dev
$257.68
Max
$601.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $81.78 and $271.55 per claim for this code.
90% bill between $52.34 and $469.79.
Top 1% bill above $588.74.
About This Procedure
HCPCS code 96567 was billed by 5 providers across 15K claims, totaling $553K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$129.78
Providers Billing
4
National Spending
$553K
Avg/Median Ratio
1.72×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96567
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568873727 | $478K |
| 2 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $61K |
| 3 | 1467882332 | $12K |
| 4 | 1215096375 | $2K |
| 5 | 1104871193 | $0 |
Showing top 5 of 5 providers billing this code