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#347 of 11K

95004

Percutaneous allergy skin tests, each

Percutaneous allergy skin tests, each is the #347 most-billed Medicaid procedure code, with $376.4M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $134.97. Costs vary widely — the 90th percentile is $271.96 per claim, 2.0× the median.

Total Paid

$376.4M

0.03% of all spending

Total Claims

2.3M

Providers

3K

Avg Cost/Claim

$162

National Cost Distribution

How much do providers bill per claim for 95004? Based on 3K providers billing this code nationally.

Median

$134.97

Average

$157.15

Std Dev

$172.34

Max

$4,285.85

Percentile Distribution (Cost per Claim)

p10
$46.33
p25
$81.62
Median
$134.97
p75
$203.35
p90
$271.96
p95
$316.25
p99
$440.63

50% of providers bill between $81.62 and $203.35 per claim for this code.

90% bill between $46.33 and $271.96.

Top 1% bill above $440.63.

About This Procedure

HCPCS code 95004 (Percutaneous allergy skin tests, each) was billed by 3K providers across 2.3M claims, totaling $376.4M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$134.97

Providers Billing

3K

National Spending

$376.4M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95004

#ProviderTotal Paid
11376598326$15.7M
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$13.2M
3Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$12.1M
4Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$11.7M
51881785947$6.8M
61073508347$5.2M
7Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$4.8M
8Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$4.4M
91215995444$4.3M
101750309589$3.4M
11Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$2.3M
121093748550$2.3M
131619037975$2.1M
141457384448$2.0M
151861599094$1.9M
161912089335$1.8M
171427536325$1.8M
181700882388$1.7M
191184789653$1.7M
201720167554$1.7M

Showing top 20 of 3K providers billing this code

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