0099U
HCPCS Procedure Code
HCPCS code 0099U is the #2,962 most-billed Medicaid procedure code, with $2.9M in payments across 21K claims from 2018–2024. The national median cost per claim is $121.71. Costs vary widely — the 90th percentile is $447.92 per claim, 3.7× the median.
Total Paid
$2.9M
0.00% of all spending
Total Claims
21K
Providers
71
Avg Cost/Claim
$136
National Cost Distribution
How much do providers bill per claim for 0099U? Based on 58 providers billing this code nationally.
Median
$121.71
Average
$177.37
Std Dev
$216.74
Max
$1,139.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.13 and $211.20 per claim for this code.
90% bill between $1.46 and $447.92.
Top 1% bill above $945.68.
About This Procedure
HCPCS code 0099U was billed by 71 providers across 21K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$121.71
Providers Billing
58
National Spending
$2.9M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0099U
| # | Provider | Total Paid |
|---|---|---|
| 1 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $449K |
| 2 | 1699704254 | $435K |
| 3 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $332K |
| 4 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $285K |
| 5 | 1942641774 | $180K |
| 6 | 1639101199 | $101K |
| 7 | 1457389249 | $92K |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $91K |
| 9 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $82K |
| 10 | 1356304547 | $80K |
| 11 | 1346297843 | $69K |
| 12 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $68K |
| 13 | 1447231956 | $60K |
| 14 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $58K |
| 15 | 1568569796 | $57K |
| 16 | 1598748782 | $56K |
| 17 | 1437156346 | $49K |
| 18 | 1699858373 | $49K |
| 19 | 1356307581 | $40K |
| 20 | 1619913647 | $38K |
Showing top 20 of 71 providers billing this code