96912
HCPCS Procedure Code
HCPCS code 96912 is the #4,557 most-billed Medicaid procedure code, with $515K in payments across 26K claims from 2018–2024. The national median cost per claim is $34.84. Costs vary widely — the 90th percentile is $82.11 per claim, 2.4× the median.
Total Paid
$515K
0.00% of all spending
Total Claims
26K
Providers
6
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 96912? Based on 6 providers billing this code nationally.
Median
$34.84
Average
$43.98
Std Dev
$34.15
Max
$104.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.30 and $54.63 per claim for this code.
90% bill between $15.00 and $82.11.
Top 1% bill above $102.46.
About This Procedure
HCPCS code 96912 was billed by 6 providers across 26K claims, totaling $515K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.84
Providers Billing
6
National Spending
$515K
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96912
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568873727 | $296K |
| 2 | 1811135247 | $103K |
| 3 | 1154407856 | $81K |
| 4 | 1497716609 | $34K |
| 5 | 1821285974 | $1K |
| 6 | 1164408282 | $475 |
Showing top 6 of 6 providers billing this code