99000
HCPCS Procedure Code
HCPCS code 99000 is the #924 most-billed Medicaid procedure code, with $58.0M in payments across 20.0M claims from 2018–2024. The national median cost per claim is $2.30. Costs vary widely — the 90th percentile is $10.66 per claim, 4.6× the median.
Total Paid
$58.0M
0.01% of all spending
Total Claims
20.0M
Providers
11K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 99000? Based on 7K providers billing this code nationally.
Median
$2.30
Average
$4.78
Std Dev
$11.55
Max
$448.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.42 and $5.32 per claim for this code.
90% bill between $0.04 and $10.66.
Top 1% bill above $26.69.
About This Procedure
HCPCS code 99000 was billed by 11K providers across 20.0M claims, totaling $58.0M in Medicaid payments from 2018–2024. This code was used for 17.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.30
Providers Billing
7K
National Spending
$58.0M
Avg/Median Ratio
2.08×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99000
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144405762 | $1.1M |
| 2 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $1.0M |
| 3 | 1982087896 | $916K |
| 4 | 1437215134 | $834K |
| 5 | 1144203498 | $818K |
| 6 | 1952326019 | $764K |
| 7 | 1528039120 | $710K |
| 8 | Utah Navajo Health System, Incorporated Montezuma Creek, UT · Family Medicine | $691K |
| 9 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $626K |
| 10 | 1063498517 | $556K |
| 11 | Parcare Community Health Network Inc Brooklyn, NY · Specialist | $539K |
| 12 | Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner | $482K |
| 13 | 1083623409 | $469K |
| 14 | 1184048449 | $469K |
| 15 | 1265629133 | $420K |
| 16 | 1588738538 | $403K |
| 17 | 1659312593 | $391K |
| 18 | 1437231693 | $386K |
| 19 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $369K |
| 20 | 1881742575 | $357K |
Showing top 20 of 11K providers billing this code