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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376598326 | $15.7M |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $13.2M |
| 3 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $12.1M |
| 4 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $11.7M |
| 5 | 1881785947 | $6.8M |
| 6 | 1073508347 | $5.2M |
| 7 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $4.8M |
| 8 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $4.4M |
| 9 | 1215995444 | $4.3M |
| 10 | 1750309589 | $3.4M |
| 11 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $2.3M |
| 12 | 1093748550 | $2.3M |
| 13 | 1619037975 | $2.1M |
| 14 | 1457384448 | $2.0M |
| 15 | 1861599094 | $1.9M |
| 16 | 1912089335 | $1.8M |
| 17 | 1427536325 | $1.8M |
| 18 | 1700882388 | $1.7M |
| 19 | 1184789653 | $1.7M |
| 20 | 1720167554 | $1.7M |
Showing top 20 of 3K providers billing this code