Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5626 of 11K

94015

HCPCS Procedure Code

HCPCS code 94015 is the #5,626 most-billed Medicaid procedure code, with $165K in payments across 10K claims from 2018–2024. The national median cost per claim is $13.19.

Total Paid

$165K

0.00% of all spending

Total Claims

10K

Providers

3

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 94015? Based on 3 providers billing this code nationally.

Median

$13.19

Average

$10.44

Std Dev

$7.93

Max

$16.64

Percentile Distribution (Cost per Claim)

p10
$3.84
p25
$7.34
Median
$13.19
p75
$14.91
p90
$15.95
p95
$16.29
p99
$16.57

50% of providers bill between $7.34 and $14.91 per claim for this code.

90% bill between $3.84 and $15.95.

Top 1% bill above $16.57.

About This Procedure

HCPCS code 94015 was billed by 3 providers across 10K claims, totaling $165K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.19

Providers Billing

3

National Spending

$165K

Avg/Median Ratio

0.79×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.