96101
HCPCS Procedure Code
HCPCS code 96101 is the #893 most-billed Medicaid procedure code, with $62.6M in payments across 322K claims from 2018–2024. The national median cost per claim is $196.08.
Total Paid
$62.6M
0.01% of all spending
Total Claims
322K
Providers
1K
Avg Cost/Claim
$195
National Cost Distribution
How much do providers bill per claim for 96101? Based on 1K providers billing this code nationally.
Median
$196.08
Average
$196.50
Std Dev
$147.30
Max
$1,810.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $101.58 and $242.68 per claim for this code.
90% bill between $50.49 and $319.44.
Top 1% bill above $744.48.
About This Procedure
HCPCS code 96101 was billed by 1K providers across 322K claims, totaling $62.6M in Medicaid payments from 2018–2024. This code was used for 239K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$196.08
Providers Billing
1K
National Spending
$62.6M
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 96101
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles Unified School District Los Angeles, CA · Social Worker School | $3.4M |
| 2 | 1750507653 | $737K |
| 3 | Wasatch Behavioral Health Special Service District Provo, UT · Community/Behavioral Health | $663K |
| 4 | 1639395346 | $641K |
| 5 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $594K |
| 6 | 1275877896 | $573K |
| 7 | 1386794568 | $429K |
| 8 | 1871715128 | $420K |
| 9 | 1891885604 | $403K |
| 10 | 1588709869 | $402K |
| 11 | 1720260417 | $396K |
| 12 | 1073630505 | $385K |
| 13 | 1043388648 | $382K |
| 14 | 1740338011 | $377K |
| 15 | Nystrom & Associates, Ltd New Brighton, MN · Marriage & Family Therapist | $373K |
| 16 | 1457524415 | $360K |
| 17 | 1255484606 | $359K |
| 18 | 1427180835 | $346K |
| 19 | 1730229410 | $345K |
| 20 | 1023231891 | $344K |
Showing top 20 of 1K providers billing this code