94016
HCPCS Procedure Code
HCPCS code 94016 is the #3,737 most-billed Medicaid procedure code, with $1.2M in payments across 80K claims from 2018–2024. The national median cost per claim is $13.31.
Total Paid
$1.2M
0.00% of all spending
Total Claims
80K
Providers
100
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 94016? Based on 97 providers billing this code nationally.
Median
$13.31
Average
$12.47
Std Dev
$7.57
Max
$29.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.15 and $17.06 per claim for this code.
90% bill between $1.33 and $21.01.
Top 1% bill above $28.77.
About This Procedure
HCPCS code 94016 was billed by 100 providers across 80K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 63K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.31
Providers Billing
97
National Spending
$1.2M
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 94016
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447650486 | $206K |
| 2 | 1639371586 | $109K |
| 3 | 1780670919 | $97K |
| 4 | 1477799286 | $97K |
| 5 | 1396958237 | $91K |
| 6 | 1083658918 | $90K |
| 7 | 1215174958 | $85K |
| 8 | 1477765469 | $61K |
| 9 | 1124032461 | $48K |
| 10 | 1336553171 | $44K |
| 11 | 1396761003 | $41K |
| 12 | 1073755476 | $40K |
| 13 | 1013998335 | $24K |
| 14 | 1619100377 | $18K |
| 15 | 1003913971 | $16K |
| 16 | 1477960730 | $16K |
| 17 | 1295738003 | $15K |
| 18 | 1467571976 | $15K |
| 19 | 1730257106 | $14K |
| 20 | 1083664759 | $13K |
Showing top 20 of 100 providers billing this code