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#9268 of 11K

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)

p10
$0.09
p25
$0.10
Median
$0.12
p75
$0.14
p90
$0.15
p95
$0.15
p99
$0.16

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.