#192 of 11K

41899

Unlisted procedure, dentoalveolar structures

Unlisted procedure, dentoalveolar structures is the #192 most-billed Medicaid procedure code, with $903.2M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $763.43. Costs vary widely — the 90th percentile is $1,938.25 per claim, 2.5× the median.

Total Paid

$903.2M

0.08% of all spending

Total Claims

1.0M

Providers

910

Avg Cost/Claim

$878

National Cost Distribution

How much do providers bill per claim for 41899? Based on 881 providers billing this code nationally.

Median

$763.43

Average

$996.84

Std Dev

$1,301.36

Max

$29,509.50

Percentile Distribution (Cost per Claim)

p10

$98.22

p25

$355.74

Median

$763.43

p75

$1,359.48

p90

$1,938.25

p95

$2,450.47

p99

$4,497.94

50% of providers bill between $355.74 and $1,359.48 per claim for this code.

90% bill between $98.22 and $1,938.25.

Top 1% bill above $4,497.94.

About This Procedure

HCPCS code 41899 (Unlisted procedure, dentoalveolar structures) was billed by 910 providers across 1.0M claims, totaling $903.2M in Medicaid payments from 2018–2024. This code was used for 900K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$763.43

Providers Billing

881

National Spending

$903.2M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 41899

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Franciscan Hospital For Children Inc. Boston, MA · Rehabilitation Hospital Children	$54.2M	$3,141.34	4.1× median	Top 10%
2	1114266970	$16.6M	$833.48	1.1× median	Above Median
3	1639452444	$12.4M	$1,236.51	1.6× median	Above Median
4	1316484447	$11.2M	$1,326.57	1.7× median	Above Median
5	1134421175	$9.7M	$605.24	0.8× median	Below Median
6	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$8.8M	$1,960.09	2.6× median	Top 10%
7	1962866418	$8.5M	$2,450.47	3.2× median	Top 10%
8	1487043386	$8.4M	$1,240.52	1.6× median	Above Median
9	Texas Children's Hospital Houston, TX · General Acute Care Hospital Children	$8.1M	$2,248.51	2.9× median	Top 10%
10	Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital	$7.3M	$1,138.23	1.5× median	Above Median
11	1780885442	$7.2M	$1,002.42	1.3× median	Above Median
12	1457458556	$7.2M	$1,714.53	2.2× median	Above 75th
13	Children's Hospital Corporation Boston, MA · Clinic/Center	$7.2M	$1,799.12	2.4× median	Above 75th
14	1730233768	$7.2M	$752.46	1.0× median	Below Median
15	1740221795	$7.1M	$2,840.91	3.7× median	Top 10%
16	1962987677	$7.1M	$1,158.19	1.5× median	Above Median
17	Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical	$7.0M	$1,716.30	2.2× median	Above 75th
18	University Hospital Newark, NJ · General Acute Care Hospital	$7.0M	$2,487.36	3.3× median	Top 10%
19	1740246792	$6.7M	$1,402.86	1.8× median	Above 75th
20	1861444838	$6.7M	$796.15	1.0× median	Above Median

Showing top 20 of 910 providers billing this code

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