96368
HCPCS Procedure Code
HCPCS code 96368 is the #2,248 most-billed Medicaid procedure code, with $7.5M in payments across 398K claims from 2018–2024. The national median cost per claim is $14.35. Costs vary widely — the 90th percentile is $53.86 per claim, 3.8× the median.
Total Paid
$7.5M
0.00% of all spending
Total Claims
398K
Providers
661
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 96368? Based on 541 providers billing this code nationally.
Median
$14.35
Average
$23.83
Std Dev
$32.04
Max
$296.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.67 and $26.74 per claim for this code.
90% bill between $1.12 and $53.86.
Top 1% bill above $170.12.
About This Procedure
HCPCS code 96368 was billed by 661 providers across 398K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 254K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.35
Providers Billing
541
National Spending
$7.5M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96368
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $442K |
| 2 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $430K |
| 3 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $248K |
| 4 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $243K |
| 5 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $202K |
| 6 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $189K |
| 7 | 1992789721 | $187K |
| 8 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $179K |
| 9 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $167K |
| 10 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $155K |
| 11 | 1699874248 | $151K |
| 12 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $132K |
| 13 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $132K |
| 14 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $116K |
| 15 | 1427055821 | $109K |
| 16 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $106K |
| 17 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $104K |
| 18 | 1609869916 | $91K |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $89K |
| 20 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $77K |
Showing top 20 of 661 providers billing this code