95027
HCPCS Procedure Code
HCPCS code 95027 is the #4,313 most-billed Medicaid procedure code, with $672K in payments across 6K claims from 2018–2024. The national median cost per claim is $65.29. Costs vary widely — the 90th percentile is $155.85 per claim, 2.4× the median.
Total Paid
$672K
0.00% of all spending
Total Claims
6K
Providers
17
Avg Cost/Claim
$116
National Cost Distribution
How much do providers bill per claim for 95027? Based on 17 providers billing this code nationally.
Median
$65.29
Average
$78.39
Std Dev
$61.29
Max
$188.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.22 and $139.13 per claim for this code.
90% bill between $7.78 and $155.85.
Top 1% bill above $184.29.
About This Procedure
HCPCS code 95027 was billed by 17 providers across 6K claims, totaling $672K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$65.29
Providers Billing
17
National Spending
$672K
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95027
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134153083 | $299K |
| 2 | 1508868670 | $215K |
| 3 | 1114024312 | $93K |
| 4 | 1164423299 | $17K |
| 5 | 1508174871 | $9K |
| 6 | 1356403042 | $9K |
| 7 | 1063557726 | $7K |
| 8 | 1093917643 | $6K |
| 9 | 1316275514 | $5K |
| 10 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $3K |
| 11 | 1386635415 | $2K |
| 12 | 1780016360 | $2K |
| 13 | 1407128077 | $1K |
| 14 | 1194099390 | $1K |
| 15 | 1093819724 | $849 |
| 16 | 1679617971 | $689 |
| 17 | 1629304589 | $73 |
Showing top 17 of 17 providers billing this code