94761
HCPCS Procedure Code
HCPCS code 94761 is the #1,970 most-billed Medicaid procedure code, with $10.8M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $1.47. Costs vary widely — the 90th percentile is $21.00 per claim, 14.3× the median.
Total Paid
$10.8M
0.00% of all spending
Total Claims
1.2M
Providers
888
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 94761? Based on 639 providers billing this code nationally.
Median
$1.47
Average
$8.96
Std Dev
$35.88
Max
$681.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.27 and $5.71 per claim for this code.
90% bill between $0.05 and $21.00.
Top 1% bill above $84.98.
About This Procedure
HCPCS code 94761 was billed by 888 providers across 1.2M claims, totaling $10.8M in Medicaid payments from 2018–2024. This code was used for 930K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.47
Providers Billing
639
National Spending
$10.8M
Avg/Median Ratio
6.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 94761
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437259694 | $2.7M |
| 2 | The Health And Hospital Corporation Of Marion County Indianapolis, IN · Psychiatric Unit | $1.9M |
| 3 | 1427082957 | $1.4M |
| 4 | 1467412726 | $1.2M |
| 5 | 1477549756 | $779K |
| 6 | 1972500452 | $144K |
| 7 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $123K |
| 8 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $123K |
| 9 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $101K |
| 10 | 1437150984 | $100K |
| 11 | 1609869916 | $85K |
| 12 | 1831284280 | $72K |
| 13 | 1619988144 | $64K |
| 14 | 1194956292 | $63K |
| 15 | 1437699584 | $53K |
| 16 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $52K |
| 17 | 1649556200 | $51K |
| 18 | 1346297843 | $48K |
| 19 | 1619975331 | $46K |
| 20 | 1235111071 | $45K |
Showing top 20 of 888 providers billing this code