99001
HCPCS Procedure Code
HCPCS code 99001 is the #2,340 most-billed Medicaid procedure code, with $6.6M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $2.31. Costs vary widely — the 90th percentile is $15.78 per claim, 6.8× the median.
Total Paid
$6.6M
0.00% of all spending
Total Claims
1.2M
Providers
810
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 99001? Based on 513 providers billing this code nationally.
Median
$2.31
Average
$6.05
Std Dev
$13.04
Max
$198.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.42 and $5.94 per claim for this code.
90% bill between $0.07 and $15.78.
Top 1% bill above $55.14.
About This Procedure
HCPCS code 99001 was billed by 810 providers across 1.2M claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.31
Providers Billing
513
National Spending
$6.6M
Avg/Median Ratio
2.62×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99001
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750539466 | $1.2M |
| 2 | 1538199617 | $690K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $552K |
| 4 | 1396327391 | $542K |
| 5 | 1356391247 | $412K |
| 6 | 1063036689 | $287K |
| 7 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $191K |
| 8 | 1881841120 | $179K |
| 9 | 1134183171 | $107K |
| 10 | 1407803638 | $107K |
| 11 | 1487683058 | $102K |
| 12 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $93K |
| 13 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $85K |
| 14 | 1942749387 | $79K |
| 15 | 1417125642 | $74K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $74K |
| 17 | 1770754368 | $57K |
| 18 | 1598750721 | $55K |
| 19 | Public Hospital District 1 Of King County Renton, WA · General Acute Care Hospital | $49K |
| 20 | 1790720647 | $48K |
Showing top 20 of 810 providers billing this code