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#2360 of 11K

96573

HCPCS Procedure Code

HCPCS code 96573 is the #2,360 most-billed Medicaid procedure code, with $6.4M in payments across 41K claims from 2018–2024. The national median cost per claim is $157.37.

Total Paid

$6.4M

0.00% of all spending

Total Claims

41K

Providers

2

Avg Cost/Claim

$156

National Cost Distribution

How much do providers bill per claim for 96573? Based on 1 providers billing this code nationally.

Median

$157.37

Average

$157.37

Std Dev

Max

$157.37

Percentile Distribution (Cost per Claim)

p10
$157.37
p25
$157.37
Median
$157.37
p75
$157.37
p90
$157.37
p95
$157.37
p99
$157.37

50% of providers bill between $157.37 and $157.37 per claim for this code.

90% bill between $157.37 and $157.37.

Top 1% bill above $157.37.

About This Procedure

HCPCS code 96573 was billed by 2 providers across 41K claims, totaling $6.4M in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$157.37

Providers Billing

1

National Spending

$6.4M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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