96375
Therapeutic/prophylactic/diagnostic IV push, each additional substance
Therapeutic/prophylactic/diagnostic IV push, each additional substance is the #255 most-billed Medicaid procedure code, with $561.1M in payments across 26.4M claims from 2018–2024. The national median cost per claim is $14.92. Costs vary widely — the 90th percentile is $54.05 per claim, 3.6× the median.
Total Paid
$561.1M
0.05% of all spending
Total Claims
26.4M
Providers
5K
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 96375? Based on 4K providers billing this code nationally.
Median
$14.92
Average
$23.46
Std Dev
$30.72
Max
$484.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.88 and $32.64 per claim for this code.
90% bill between $0.52 and $54.05.
Top 1% bill above $142.18.
About This Procedure
HCPCS code 96375 (Therapeutic/prophylactic/diagnostic IV push, each additional substance) was billed by 5K providers across 26.4M claims, totaling $561.1M in Medicaid payments from 2018–2024. This code was used for 20.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.92
Providers Billing
4K
National Spending
$561.1M
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96375
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $7.8M |
| 2 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $6.7M |
| 3 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $5.1M |
| 4 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $4.6M |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $4.6M |
| 6 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $4.4M |
| 7 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $4.1M |
| 8 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $4.0M |
| 9 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $3.5M |
| 10 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $3.4M |
| 11 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $3.2M |
| 12 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $3.2M |
| 13 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $3.0M |
| 14 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $2.9M |
| 15 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $2.8M |
| 16 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $2.7M |
| 17 | 1114367497 | $2.5M |
| 18 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $2.5M |
| 19 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $2.5M |
| 20 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $2.4M |
Showing top 20 of 5K providers billing this code