95718
HCPCS Procedure Code
HCPCS code 95718 is the #2,364 most-billed Medicaid procedure code, with $6.3M in payments across 70K claims from 2018–2024. The national median cost per claim is $78.85.
Total Paid
$6.3M
0.00% of all spending
Total Claims
70K
Providers
218
Avg Cost/Claim
$90
National Cost Distribution
How much do providers bill per claim for 95718? Based on 217 providers billing this code nationally.
Median
$78.85
Average
$91.45
Std Dev
$49.14
Max
$332.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.40 and $105.62 per claim for this code.
90% bill between $43.72 and $154.63.
Top 1% bill above $232.07.
About This Procedure
HCPCS code 95718 was billed by 218 providers across 70K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 59K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$78.85
Providers Billing
217
National Spending
$6.3M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95718
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $411K |
| 2 | 1477624104 | $309K |
| 3 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $272K |
| 4 | Texas Children's Physician Group Houston, TX · Pediatrics | $227K |
| 5 | 1013047042 | $175K |
| 6 | 1477503407 | $174K |
| 7 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $167K |
| 8 | 1093768723 | $157K |
| 9 | 1770793879 | $155K |
| 10 | 1750351375 | $145K |
| 11 | 1033138250 | $126K |
| 12 | 1164512851 | $123K |
| 13 | 1881683100 | $109K |
| 14 | 1003076886 | $109K |
| 15 | 1134195720 | $108K |
| 16 | 1740248590 | $104K |
| 17 | 1669533865 | $100K |
| 18 | 1811920549 | $99K |
| 19 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $94K |
| 20 | 1104875970 | $92K |
Showing top 20 of 218 providers billing this code