01996
HCPCS Procedure Code
HCPCS code 01996 is the #5,013 most-billed Medicaid procedure code, with $320K in payments across 11K claims from 2018–2024. The national median cost per claim is $31.33. Costs vary widely — the 90th percentile is $68.42 per claim, 2.2× the median.
Total Paid
$320K
0.00% of all spending
Total Claims
11K
Providers
44
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 01996? Based on 40 providers billing this code nationally.
Median
$31.33
Average
$34.80
Std Dev
$22.12
Max
$102.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.25 and $44.73 per claim for this code.
90% bill between $10.93 and $68.42.
Top 1% bill above $92.30.
About This Procedure
HCPCS code 01996 was billed by 44 providers across 11K claims, totaling $320K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.33
Providers Billing
40
National Spending
$320K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01996
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326091448 | $74K |
| 2 | 1871986372 | $55K |
| 3 | 1609880947 | $35K |
| 4 | 1457300998 | $26K |
| 5 | 1669581997 | $16K |
| 6 | 1205888914 | $15K |
| 7 | 1952392946 | $12K |
| 8 | 1477503407 | $12K |
| 9 | 1528137296 | $11K |
| 10 | 1225016926 | $9K |
| 11 | 1376709535 | $7K |
| 12 | 1285684407 | $6K |
| 13 | 1548208564 | $6K |
| 14 | 1710959457 | $6K |
| 15 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $4K |
| 16 | 1487602546 | $3K |
| 17 | 1245252212 | $2K |
| 18 | 1457389033 | $2K |
| 19 | 1639121536 | $2K |
| 20 | 1174581185 | $2K |
Showing top 20 of 44 providers billing this code