96574
HCPCS Procedure Code
HCPCS code 96574 is the #2,288 most-billed Medicaid procedure code, with $7.1M in payments across 36K claims from 2018–2024. The national median cost per claim is $54.12. Costs vary widely — the 90th percentile is $171.27 per claim, 3.2× the median.
Total Paid
$7.1M
0.00% of all spending
Total Claims
36K
Providers
7
Avg Cost/Claim
$198
National Cost Distribution
How much do providers bill per claim for 96574? Based on 3 providers billing this code nationally.
Median
$54.12
Average
$85.35
Std Dev
$103.20
Max
$200.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.74 and $127.34 per claim for this code.
90% bill between $11.91 and $171.27.
Top 1% bill above $197.63.
About This Procedure
HCPCS code 96574 was billed by 7 providers across 36K claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.12
Providers Billing
3
National Spending
$7.1M
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96574
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568873727 | $7.1M |
| 2 | 1215295480 | $1K |
| 3 | 1790395747 | $54 |
| 4 | 1104871193 | $0 |
| 5 | 1033434477 | $0 |
| 6 | 1962823732 | $0 |
| 7 | 1679946198 | $0 |
Showing top 7 of 7 providers billing this code