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#924 of 11K

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)

p10
$0.04
p25
$0.42
Median
$2.30
p75
$5.32
p90
$10.66
p95
$20.12
p99
$26.69

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

#ProviderTotal Paid
11144405762$1.1M
2Aurora Medical Group, Inc.

Milwaukee, WI · Internal Medicine

$1.0M
31982087896$916K
41437215134$834K
51144203498$818K
61952326019$764K
71528039120$710K
8Utah Navajo Health System, Incorporated

Montezuma Creek, UT · Family Medicine

$691K
9Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$626K
101063498517$556K
11Parcare Community Health Network Inc

Brooklyn, NY · Specialist

$539K
12Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$482K
131083623409$469K
141184048449$469K
151265629133$420K
161588738538$403K
171659312593$391K
181437231693$386K
19Cook Children's Physician Network

Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)

$369K
201881742575$357K

Showing top 20 of 11K providers billing this code

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