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#856 of 11K

99070

HCPCS Procedure Code

HCPCS code 99070 is the #856 most-billed Medicaid procedure code, with $66.6M in payments across 6.0M claims from 2018–2024. The national median cost per claim is $8.08. Costs vary widely — the 90th percentile is $35.79 per claim, 4.4× the median.

Total Paid

$66.6M

0.01% of all spending

Total Claims

6.0M

Providers

2K

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 99070? Based on 1K providers billing this code nationally.

Median

$8.08

Average

$34.34

Std Dev

$190.10

Max

$3,868.00

Percentile Distribution (Cost per Claim)

p10
$0.33
p25
$2.22
Median
$8.08
p75
$21.81
p90
$35.79
p95
$84.97
p99
$485.79

50% of providers bill between $2.22 and $21.81 per claim for this code.

90% bill between $0.33 and $35.79.

Top 1% bill above $485.79.

About This Procedure

HCPCS code 99070 was billed by 2K providers across 6.0M claims, totaling $66.6M in Medicaid payments from 2018–2024. This code was used for 3.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.08

Providers Billing

1K

National Spending

$66.6M

Avg/Median Ratio

4.25×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99070

#ProviderTotal Paid
1Alameda Health System

Oakland, CA · General Acute Care Hospital

$5.3M
21831188275$5.1M
3Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$2.6M
41063812907$2.2M
51780614685$2.2M
61972147239$2.1M
71043354111$1.3M
8Stanford Health Care

Stanford, CA · General Acute Care Hospital

$1.2M
91821147786$1.1M
10Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$979K
111548393127$971K
12Dignity Health

San Bernardino, CA · General Acute Care Hospital

$877K
131144389941$813K
141851369284$799K
151205089026$792K
161265982375$776K
17Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$768K
181194899138$753K
191295181477$703K
20Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$694K

Showing top 20 of 2K providers billing this code