96156
HCPCS Procedure Code
HCPCS code 96156 is the #712 most-billed Medicaid procedure code, with $99.9M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $22.36. Costs vary widely — the 90th percentile is $98.43 per claim, 4.4× the median.
Total Paid
$99.9M
0.01% of all spending
Total Claims
3.4M
Providers
2K
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 96156? Based on 2K providers billing this code nationally.
Median
$22.36
Average
$40.82
Std Dev
$47.51
Max
$402.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.58 and $65.18 per claim for this code.
90% bill between $0.71 and $98.43.
Top 1% bill above $231.11.
About This Procedure
HCPCS code 96156 was billed by 2K providers across 3.4M claims, totaling $99.9M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.36
Providers Billing
2K
National Spending
$99.9M
Avg/Median Ratio
1.83×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96156
| # | Provider | Total Paid |
|---|---|---|
| 1 | Wv Birth To Three Charleston, WV · Early Intervention Provider Agency | $6.2M |
| 2 | 1568495364 | $4.4M |
| 3 | 1427121375 | $2.7M |
| 4 | 1003902610 | $1.9M |
| 5 | 1265569008 | $1.5M |
| 6 | 1366574048 | $1.5M |
| 7 | 1659312593 | $1.4M |
| 8 | 1982871729 | $1.3M |
| 9 | 1831722610 | $1.2M |
| 10 | 1881801835 | $1.2M |
| 11 | 1780169524 | $1.2M |
| 12 | 1386273100 | $1.1M |
| 13 | 1952781411 | $1.1M |
| 14 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $1.1M |
| 15 | 1871607762 | $1.1M |
| 16 | 1831400795 | $1.1M |
| 17 | 1114192390 | $1.0M |
| 18 | 1871818138 | $991K |
| 19 | 1568599769 | $959K |
| 20 | 1508982455 | $949K |
Showing top 20 of 2K providers billing this code