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#2816 of 11K

94762

HCPCS Procedure Code

HCPCS code 94762 is the #2,816 most-billed Medicaid procedure code, with $3.5M in payments across 266K claims from 2018–2024. The national median cost per claim is $9.98. Costs vary widely — the 90th percentile is $60.09 per claim, 6.0× the median.

Total Paid

$3.5M

0.00% of all spending

Total Claims

266K

Providers

315

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 94762? Based on 257 providers billing this code nationally.

Median

$9.98

Average

$22.72

Std Dev

$32.57

Max

$246.63

Percentile Distribution (Cost per Claim)

p10
$0.50
p25
$2.62
Median
$9.98
p75
$27.79
p90
$60.09
p95
$83.40
p99
$143.18

50% of providers bill between $2.62 and $27.79 per claim for this code.

90% bill between $0.50 and $60.09.

Top 1% bill above $143.18.

About This Procedure

HCPCS code 94762 was billed by 315 providers across 266K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 199K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.98

Providers Billing

257

National Spending

$3.5M

Avg/Median Ratio

2.28×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 94762

#ProviderTotal Paid
1Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$552K
2Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$252K
31104099704$247K
4State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$211K
51356399539$148K
61225041809$118K
71902815830$107K
81518906940$103K
91598868655$89K
101124078696$71K
111467546135$64K
12Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$59K
13Hmh Hospitals Corporation

Neptune, NJ · General Acute Care Hospital

$55K
141922060573$52K
151104828383$47K
161144420647$47K
17The Toledo Hospital

Toledo, OH · Pediatrics

$46K
181124136593$46K
191922074434$43K
201053358176$41K

Showing top 20 of 315 providers billing this code