95812
HCPCS Procedure Code
HCPCS code 95812 is the #1,083 most-billed Medicaid procedure code, with $42.3M in payments across 223K claims from 2018–2024. The national median cost per claim is $104.99. Costs vary widely — the 90th percentile is $337.07 per claim, 3.2× the median.
Total Paid
$42.3M
0.00% of all spending
Total Claims
223K
Providers
448
Avg Cost/Claim
$190
National Cost Distribution
How much do providers bill per claim for 95812? Based on 441 providers billing this code nationally.
Median
$104.99
Average
$164.13
Std Dev
$203.44
Max
$2,170.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.50 and $214.51 per claim for this code.
90% bill between $28.09 and $337.07.
Top 1% bill above $1,029.13.
About This Procedure
HCPCS code 95812 was billed by 448 providers across 223K claims, totaling $42.3M in Medicaid payments from 2018–2024. This code was used for 201K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$104.99
Providers Billing
441
National Spending
$42.3M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95812
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $5.0M |
| 2 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $3.5M |
| 3 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $2.2M |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.9M |
| 5 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $1.7M |
| 6 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $1.6M |
| 7 | 1427250455 | $1.6M |
| 8 | Prisma Health University Medical Group Greenville, SC · Internal Medicine | $1.3M |
| 9 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $861K |
| 10 | 1255396875 | $819K |
| 11 | 1093024101 | $730K |
| 12 | 1265507271 | $667K |
| 13 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $586K |
| 14 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $504K |
| 15 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $489K |
| 16 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $462K |
| 17 | 1922511864 | $454K |
| 18 | 1780014761 | $447K |
| 19 | Texas Children's Physician Group Houston, TX · Pediatrics | $430K |
| 20 | 1992727663 | $423K |
Showing top 20 of 448 providers billing this code