96904
HCPCS Procedure Code
HCPCS code 96904 is the #9,268 most-billed Medicaid procedure code, with $147 in payments across 1,545 claims from 2018–2024. The national median cost per claim is $0.12.
Total Paid
$147
0.00% of all spending
Total Claims
1,545
Providers
2
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 96904? Based on 2 providers billing this code nationally.
Median
$0.12
Average
$0.12
Std Dev
$0.05
Max
$0.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.10 and $0.14 per claim for this code.
90% bill between $0.09 and $0.15.
Top 1% bill above $0.16.
About This Procedure
HCPCS code 96904 was billed by 2 providers across 1,545 claims, totaling $147 in Medicaid payments from 2018–2024. This code was used for 1,500 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.12
Providers Billing
2
National Spending
$147
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.