95806
HCPCS Procedure Code
HCPCS code 95806 is the #1,028 most-billed Medicaid procedure code, with $47.1M in payments across 372K claims from 2018–2024. The national median cost per claim is $64.51. Costs vary widely — the 90th percentile is $198.26 per claim, 3.1× the median.
Total Paid
$47.1M
0.00% of all spending
Total Claims
372K
Providers
1K
Avg Cost/Claim
$127
National Cost Distribution
How much do providers bill per claim for 95806? Based on 1K providers billing this code nationally.
Median
$64.51
Average
$111.25
Std Dev
$174.78
Max
$2,939.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $40.72 and $106.17 per claim for this code.
90% bill between $27.56 and $198.26.
Top 1% bill above $823.09.
About This Procedure
HCPCS code 95806 was billed by 1K providers across 372K claims, totaling $47.1M in Medicaid payments from 2018–2024. This code was used for 333K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.51
Providers Billing
1K
National Spending
$47.1M
Avg/Median Ratio
1.72×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95806
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467825182 | $3.1M |
| 2 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $1.8M |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.7M |
| 4 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $806K |
| 5 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $733K |
| 6 | 1184097636 | $667K |
| 7 | 1689672693 | $621K |
| 8 | 1902815830 | $619K |
| 9 | 1457992604 | $617K |
| 10 | 1699074716 | $595K |
| 11 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $577K |
| 12 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $559K |
| 13 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $555K |
| 14 | 1356528269 | $525K |
| 15 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $516K |
| 16 | 1134480643 | $505K |
| 17 | 1023347101 | $474K |
| 18 | 1285223552 | $434K |
| 19 | 1558392563 | $411K |
| 20 | 1962464016 | $401K |
Showing top 20 of 1K providers billing this code