99078
HCPCS Procedure Code
HCPCS code 99078 is the #3,089 most-billed Medicaid procedure code, with $2.5M in payments across 106K claims from 2018–2024. The national median cost per claim is $25.66.
Total Paid
$2.5M
0.00% of all spending
Total Claims
106K
Providers
113
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 99078? Based on 86 providers billing this code nationally.
Median
$25.66
Average
$46.24
Std Dev
$117.00
Max
$800.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.20 and $30.23 per claim for this code.
90% bill between $2.10 and $45.00.
Top 1% bill above $549.59.
About This Procedure
HCPCS code 99078 was billed by 113 providers across 106K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.66
Providers Billing
86
National Spending
$2.5M
Avg/Median Ratio
1.80×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99078
| # | Provider | Total Paid |
|---|---|---|
| 1 | Contra Costa County Martinez, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $472K |
| 2 | Contra Costa County Pittsburg, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $452K |
| 3 | Contra Costa County San Pablo, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $314K |
| 4 | 1225421589 | $296K |
| 5 | 1710945969 | $149K |
| 6 | 1154401941 | $88K |
| 7 | 1285923789 | $75K |
| 8 | Contra Costa County Concord, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $70K |
| 9 | 1831268580 | $56K |
| 10 | Prisma Health University Medical Group Greenville, SC · Internal Medicine | $49K |
| 11 | Contra Costa County Antioch, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $38K |
| 12 | 1538181482 | $37K |
| 13 | 1487696191 | $33K |
| 14 | 1407973043 | $32K |
| 15 | 1326292731 | $32K |
| 16 | 1811215742 | $31K |
| 17 | 1174005011 | $29K |
| 18 | The Toledo Hospital Toledo, OH · Pediatrics | $28K |
| 19 | 1386600559 | $23K |
| 20 | 1528480753 | $22K |
Showing top 20 of 113 providers billing this code