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#3110 of 11K

W7095

HCPCS Procedure Code

HCPCS code W7095 is the #3,110 most-billed Medicaid procedure code, with $2.5M in payments across 15K claims from 2018–2024. The national median cost per claim is $139.68.

Total Paid

$2.5M

0.00% of all spending

Total Claims

15K

Providers

4

Avg Cost/Claim

$168

National Cost Distribution

How much do providers bill per claim for W7095? Based on 4 providers billing this code nationally.

Median

$139.68

Average

$136.09

Std Dev

$60.36

Max

$193.93

Percentile Distribution (Cost per Claim)

p10
$79.41
p25
$91.93
Median
$139.68
p75
$183.84
p90
$189.90
p95
$191.91
p99
$193.53

50% of providers bill between $91.93 and $183.84 per claim for this code.

90% bill between $79.41 and $189.90.

Top 1% bill above $193.53.

About This Procedure

HCPCS code W7095 was billed by 4 providers across 15K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$139.68

Providers Billing

4

National Spending

$2.5M

Avg/Median Ratio

0.97×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.