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#8536 of 11K

99075

HCPCS Procedure Code

HCPCS code 99075 is the #8,536 most-billed Medicaid procedure code, with $2K in payments across 1K claims from 2018–2024. The national median cost per claim is $1.88. Costs vary widely — the 90th percentile is $94.37 per claim, 50.2× the median.

Total Paid

$2K

0.00% of all spending

Total Claims

1K

Providers

10

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 99075? Based on 4 providers billing this code nationally.

Median

$1.88

Average

$34.54

Std Dev

$66.11

Max

$133.69

Percentile Distribution (Cost per Claim)

p10
$0.83
p25
$1.04
Median
$1.88
p75
$35.39
p90
$94.37
p95
$114.03
p99
$129.76

50% of providers bill between $1.04 and $35.39 per claim for this code.

90% bill between $0.83 and $94.37.

Top 1% bill above $129.76.

About This Procedure

HCPCS code 99075 was billed by 10 providers across 1K claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.88

Providers Billing

4

National Spending

$2K

Avg/Median Ratio

18.37×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99075

#ProviderTotal Paid
11659481786$2K
2Multicare Health System

Puyallup, WA · Community/Behavioral Health

$264
31548342181$225
41073553939$115
51477654945$0
61114476496$0
71871723403$0
81528616901$0
91861495327$0
101699916114$0

Showing top 10 of 10 providers billing this code