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#4867 of 11K

94775

HCPCS Procedure Code

HCPCS code 94775 is the #4,867 most-billed Medicaid procedure code, with $369K in payments across 3K claims from 2018–2024. The national median cost per claim is $118.18.

Total Paid

$369K

0.00% of all spending

Total Claims

3K

Providers

2

Avg Cost/Claim

$123

National Cost Distribution

How much do providers bill per claim for 94775? Based on 2 providers billing this code nationally.

Median

$118.18

Average

$118.18

Std Dev

$7.22

Max

$123.29

Percentile Distribution (Cost per Claim)

p10
$114.10
p25
$115.63
Median
$118.18
p75
$120.74
p90
$122.27
p95
$122.78
p99
$123.19

50% of providers bill between $115.63 and $120.74 per claim for this code.

90% bill between $114.10 and $122.27.

Top 1% bill above $123.19.

About This Procedure

HCPCS code 94775 was billed by 2 providers across 3K claims, totaling $369K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.18

Providers Billing

2

National Spending

$369K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.