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#1029 of 11K

99050

HCPCS Procedure Code

HCPCS code 99050 is the #1,029 most-billed Medicaid procedure code, with $47.1M in payments across 3.1M claims from 2018–2024. The national median cost per claim is $11.81. Costs vary widely — the 90th percentile is $32.77 per claim, 2.8× the median.

Total Paid

$47.1M

0.00% of all spending

Total Claims

3.1M

Providers

2K

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 99050? Based on 2K providers billing this code nationally.

Median

$11.81

Average

$15.20

Std Dev

$15.87

Max

$144.00

Percentile Distribution (Cost per Claim)

p10
$2.43
p25
$6.61
Median
$11.81
p75
$16.56
p90
$32.77
p95
$45.01
p99
$99.14

50% of providers bill between $6.61 and $16.56 per claim for this code.

90% bill between $2.43 and $32.77.

Top 1% bill above $99.14.

About This Procedure

HCPCS code 99050 was billed by 2K providers across 3.1M claims, totaling $47.1M in Medicaid payments from 2018–2024. This code was used for 2.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.81

Providers Billing

2K

National Spending

$47.1M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99050

#ProviderTotal Paid
11669825162$3.9M
21952307530$1.8M
31114948288$1.3M
41598862732$1.2M
51770611220$1.2M
61558452730$983K
71245313329$982K
81548293954$978K
91699774646$962K
101407974579$902K
111285975797$883K
121669708780$823K
131821157579$790K
141750515755$779K
151083737647$767K
161477638575$764K
17Lynn Community Health, Inc.

Lynn, MA · Clinic/Center, Community Health

$687K
181306877279$626K
191689603748$600K
201780780486$584K

Showing top 20 of 2K providers billing this code