#4472 of 11K

0399T

HCPCS Procedure Code

HCPCS code 0399T is the #4,472 most-billed Medicaid procedure code, with $565K in payments across 24K claims from 2018–2024. The national median cost per claim is $32.32. Costs vary widely — the 90th percentile is $132.67 per claim, 4.1× the median.

Total Paid

$565K

0.00% of all spending

Total Claims

24K

Providers

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 0399T? Based on 39 providers billing this code nationally.

Median

$32.32

Average

$56.80

Std Dev

$68.59

Max

$342.69

Percentile Distribution (Cost per Claim)

p10

$1.52

p25

$7.29

Median

$32.32

p75

$95.17

p90

$132.67

p95

$158.57

p99

$274.73

50% of providers bill between $7.29 and $95.17 per claim for this code.

90% bill between $1.52 and $132.67.

Top 1% bill above $274.73.

About This Procedure

HCPCS code 0399T was billed by 58 providers across 24K claims, totaling $565K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.32

Providers Billing

National Spending

$565K

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 0399T

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Children's Hospital Corporation Boston, MA · Clinic/Center	$115K	$125.07	3.9× median	Above 75th
2	1437150984	$105K	$109.46	3.4× median	Above 75th
3	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$80K	$21.34	0.7× median	Below Median
4	1225033020	$45K	$342.69	10.6× median	Top 1%
5	1982680922	$41K	$35.87	1.1× median	Above Median
6	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$32K	$155.13	4.8× median	Top 10%
7	Medical University Hospital Authority Charleston, SC · General Acute Care Hospital	$26K	$32.32	1.0× median	Above Median
8	1386682094	$25K	$35.66	1.1× median	Above Median
9	1427055821	$19K	$27.31	0.8× median	Below Median
10	1699874248	$14K	$163.86	5.1× median	Top 10%
11	University Of Kentucky Lexington, KY · General Acute Care Hospital	$10K	$29.12	0.9× median	Below Median
12	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$9K	$28.18	0.9× median	Below Median
13	University Of Utah Salt Lake City, UT · Clinic/Center, Dental	$7K	$86.15	2.7× median	Above Median
14	1780653618	$5K	$117.36	3.6× median	Above 75th
15	1134387228	$4K	$40.67	1.3× median	Above Median
16	1679660617	$4K	$89.31	2.8× median	Above Median
17	1033112230	$4K	$43.55	1.3× median	Above Median
18	1700979465	$4K	$104.84	3.2× median	Above 75th
19	Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy	$2K	$157.98	4.9× median	Top 10%
20	1265539498	$2K	$30.53	0.9× median	Below Median

Showing top 20 of 58 providers billing this code

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