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#6794 of 11K

96105

HCPCS Procedure Code

HCPCS code 96105 is the #6,794 most-billed Medicaid procedure code, with $42K in payments across 5K claims from 2018–2024. The national median cost per claim is $34.10.

Total Paid

$42K

0.00% of all spending

Total Claims

5K

Providers

7

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 96105? Based on 7 providers billing this code nationally.

Median

$34.10

Average

$28.02

Std Dev

$21.58

Max

$55.27

Percentile Distribution (Cost per Claim)

p10
$5.41
p25
$7.16
Median
$34.10
p75
$44.15
p90
$51.67
p95
$53.47
p99
$54.91

50% of providers bill between $7.16 and $44.15 per claim for this code.

90% bill between $5.41 and $51.67.

Top 1% bill above $54.91.

About This Procedure

HCPCS code 96105 was billed by 7 providers across 5K claims, totaling $42K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.10

Providers Billing

7

National Spending

$42K

Avg/Median Ratio

0.82×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96105

#ProviderTotal Paid
11609360254$16K
21144852567$9K
31043673544$8K
41861798068$6K
51043406978$2K
61932663507$1K
71740434216$75

Showing top 7 of 7 providers billing this code