95720
HCPCS Procedure Code
HCPCS code 95720 is the #775 most-billed Medicaid procedure code, with $84.1M in payments across 567K claims from 2018–2024. The national median cost per claim is $120.95.
Total Paid
$84.1M
0.01% of all spending
Total Claims
567K
Providers
548
Avg Cost/Claim
$148
National Cost Distribution
How much do providers bill per claim for 95720? Based on 546 providers billing this code nationally.
Median
$120.95
Average
$139.09
Std Dev
$84.44
Max
$1,069.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $94.88 and $160.24 per claim for this code.
90% bill between $65.64 and $221.35.
Top 1% bill above $395.23.
About This Procedure
HCPCS code 95720 was billed by 548 providers across 567K claims, totaling $84.1M in Medicaid payments from 2018–2024. This code was used for 301K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$120.95
Providers Billing
546
National Spending
$84.1M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95720
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013998830 | $3.6M |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $2.6M |
| 3 | 1578792271 | $2.4M |
| 4 | 1477554814 | $2.0M |
| 5 | 1508266347 | $1.9M |
| 6 | Texas Children's Physician Group Houston, TX · Pediatrics | $1.6M |
| 7 | 1346230968 | $1.5M |
| 8 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $1.4M |
| 9 | 1033204086 | $1.3M |
| 10 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $1.3M |
| 11 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $1.2M |
| 12 | 1932118056 | $1.2M |
| 13 | 1699720086 | $1.1M |
| 14 | Ut Physicians Houston, TX · Emergency Medicine | $1.1M |
| 15 | 1669499414 | $1.1M |
| 16 | 1578545273 | $1.1M |
| 17 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $1.0M |
| 18 | 1356377576 | $1.0M |
| 19 | 1104122621 | $1.0M |
| 20 | 1225034234 | $924K |
Showing top 20 of 548 providers billing this code