99056
HCPCS Procedure Code
HCPCS code 99056 is the #6,405 most-billed Medicaid procedure code, with $68K in payments across 5K claims from 2018–2024. The national median cost per claim is $4.05. Costs vary widely — the 90th percentile is $110.53 per claim, 27.3× the median.
Total Paid
$68K
0.00% of all spending
Total Claims
5K
Providers
22
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 99056? Based on 8 providers billing this code nationally.
Median
$4.05
Average
$44.50
Std Dev
$98.03
Max
$285.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.93 and $26.62 per claim for this code.
90% bill between $1.01 and $110.53.
Top 1% bill above $267.55.
About This Procedure
HCPCS code 99056 was billed by 22 providers across 5K claims, totaling $68K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.05
Providers Billing
8
National Spending
$68K
Avg/Median Ratio
10.99×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99056
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1104977230 | $33K |
| 2 | 1962731745 | $31K |
| 3 | 1043412752 | $4K |
| 4 | 1306529805 | $375 |
| 5 | 1558360248 | $189 |
| 6 | 1578969465 | $101 |
| 7 | 1740711449 | $68 |
| 8 | 1548853096 | $17 |
| 9 | 1497996888 | $0 |
| 10 | 1265422596 | $0 |
| 11 | 1154879096 | $0 |
| 12 | 1831670983 | $0 |
| 13 | 1407246770 | $0 |
| 14 | 1174557979 | $0 |
| 15 | 1760633580 | $0 |
| 16 | 1952478141 | $0 |
| 17 | 1194767657 | $0 |
| 18 | 1669404018 | $0 |
| 19 | 1568429363 | $0 |
| 20 | 1255543179 | $0 |
Showing top 20 of 22 providers billing this code