96920
HCPCS Procedure Code
HCPCS code 96920 is the #1,828 most-billed Medicaid procedure code, with $13.2M in payments across 111K claims from 2018–2024. The national median cost per claim is $118.58.
Total Paid
$13.2M
0.00% of all spending
Total Claims
111K
Providers
68
Avg Cost/Claim
$118
National Cost Distribution
How much do providers bill per claim for 96920? Based on 68 providers billing this code nationally.
Median
$118.58
Average
$122.89
Std Dev
$50.85
Max
$246.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $87.33 and $153.65 per claim for this code.
90% bill between $58.84 and $194.70.
Top 1% bill above $229.70.
About This Procedure
HCPCS code 96920 was billed by 68 providers across 111K claims, totaling $13.2M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$118.58
Providers Billing
68
National Spending
$13.2M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96920
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629219522 | $952K |
| 2 | 1225309586 | $708K |
| 3 | 1336343268 | $681K |
| 4 | 1780857318 | $637K |
| 5 | 1013994839 | $612K |
| 6 | 1013183961 | $608K |
| 7 | 1164656229 | $586K |
| 8 | 1184027104 | $531K |
| 9 | 1609826163 | $519K |
| 10 | 1184777427 | $493K |
| 11 | 1447220215 | $454K |
| 12 | 1134201460 | $428K |
| 13 | 1265765267 | $427K |
| 14 | 1033457395 | $369K |
| 15 | 1205871001 | $362K |
| 16 | 1609078997 | $342K |
| 17 | 1730165614 | $293K |
| 18 | State Of Connecticut Farmington, CT · Counselor, Professional | $280K |
| 19 | 1558573097 | $278K |
| 20 | 1710124417 | $271K |
Showing top 20 of 68 providers billing this code