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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1821285974 | $1.1M |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $772K |
| 3 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $314K |
| 4 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $282K |
| 5 | State Of Connecticut Farmington, CT · Counselor, Professional | $278K |
| 6 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $248K |
| 7 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $181K |
| 8 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $134K |
| 9 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $126K |
| 10 | 1386629905 | $121K |
| 11 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $85K |
| 12 | 1235671389 | $78K |
| 13 | 1053357244 | $78K |
| 14 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $75K |
| 15 | 1932154101 | $72K |
| 16 | 1558573097 | $66K |
| 17 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $66K |
| 18 | Montefiore Medical Center Bronx, NY · Anesthesiology | $50K |
| 19 | 1124373030 | $39K |
| 20 | 1245365196 | $36K |
Showing top 20 of 115 providers billing this code