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#4888 of 11K

58999

HCPCS Procedure Code

HCPCS code 58999 is the #4,888 most-billed Medicaid procedure code, with $362K in payments across 812 claims from 2018–2024. The national median cost per claim is $238.13.

Total Paid

$362K

0.00% of all spending

Total Claims

812

Providers

3

Avg Cost/Claim

$446

National Cost Distribution

How much do providers bill per claim for 58999? Based on 2 providers billing this code nationally.

Median

$238.13

Average

$238.13

Std Dev

$335.53

Max

$475.38

Percentile Distribution (Cost per Claim)

p10
$48.32
p25
$119.50
Median
$238.13
p75
$356.75
p90
$427.93
p95
$451.65
p99
$470.63

50% of providers bill between $119.50 and $356.75 per claim for this code.

90% bill between $48.32 and $427.93.

Top 1% bill above $470.63.

About This Procedure

HCPCS code 58999 was billed by 3 providers across 812 claims, totaling $362K in Medicaid payments from 2018–2024. This code was used for 787 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$238.13

Providers Billing

2

National Spending

$362K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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