95709
HCPCS Procedure Code
HCPCS code 95709 is the #3,193 most-billed Medicaid procedure code, with $2.3M in payments across 7K claims from 2018–2024. The national median cost per claim is $423.29. Costs vary widely — the 90th percentile is $953.22 per claim, 2.3× the median.
Total Paid
$2.3M
0.00% of all spending
Total Claims
7K
Providers
7
Avg Cost/Claim
$327
National Cost Distribution
How much do providers bill per claim for 95709? Based on 7 providers billing this code nationally.
Median
$423.29
Average
$505.85
Std Dev
$351.90
Max
$1,034.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $327.10 and $704.15 per claim for this code.
90% bill between $182.84 and $953.22.
Top 1% bill above $1,026.49.
About This Procedure
HCPCS code 95709 was billed by 7 providers across 7K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$423.29
Providers Billing
7
National Spending
$2.3M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95709
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225056252 | $1.6M |
| 2 | 1912318445 | $245K |
| 3 | 1982149738 | $179K |
| 4 | 1497168546 | $90K |
| 5 | 1265803829 | $86K |
| 6 | 1063956555 | $29K |
| 7 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $329 |
Showing top 7 of 7 providers billing this code