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#2584 of 11K

96900

HCPCS Procedure Code

HCPCS code 96900 is the #2,584 most-billed Medicaid procedure code, with $4.8M in payments across 294K claims from 2018–2024. The national median cost per claim is $15.84. Costs vary widely — the 90th percentile is $33.95 per claim, 2.1× the median.

Total Paid

$4.8M

0.00% of all spending

Total Claims

294K

Providers

115

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 96900? Based on 109 providers billing this code nationally.

Median

$15.84

Average

$21.31

Std Dev

$20.54

Max

$130.44

Percentile Distribution (Cost per Claim)

p10
$7.77
p25
$10.18
Median
$15.84
p75
$26.15
p90
$33.95
p95
$46.22
p99
$126.97

50% of providers bill between $10.18 and $26.15 per claim for this code.

90% bill between $7.77 and $33.95.

Top 1% bill above $126.97.

About This Procedure

HCPCS code 96900 was billed by 115 providers across 294K claims, totaling $4.8M in Medicaid payments from 2018–2024. This code was used for 140K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.84

Providers Billing

109

National Spending

$4.8M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96900

#ProviderTotal Paid
11821285974$1.1M
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$772K
3Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$314K
4Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$282K
5State Of Connecticut

Farmington, CT · Counselor, Professional

$278K
6The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$248K
7Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$181K
8Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$134K
9University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$126K
101386629905$121K
11Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$85K
121235671389$78K
131053357244$78K
14New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$75K
151932154101$72K
161558573097$66K
17Truman Medical Center, Incorporated

Kansas City, MO · General Acute Care Hospital

$66K
18Montefiore Medical Center

Bronx, NY · Anesthesiology

$50K
191124373030$39K
201245365196$36K

Showing top 20 of 115 providers billing this code