99135
HCPCS Procedure Code
HCPCS code 99135 is the #7,128 most-billed Medicaid procedure code, with $27K in payments across 545 claims from 2018–2024. The national median cost per claim is $8.05. Costs vary widely — the 90th percentile is $135.38 per claim, 16.8× the median.
Total Paid
$27K
0.00% of all spending
Total Claims
545
Providers
9
Avg Cost/Claim
$50
National Cost Distribution
How much do providers bill per claim for 99135? Based on 7 providers billing this code nationally.
Median
$8.05
Average
$49.45
Std Dev
$99.33
Max
$272.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.78 and $27.47 per claim for this code.
90% bill between $3.36 and $135.38.
Top 1% bill above $258.59.
About This Procedure
HCPCS code 99135 was billed by 9 providers across 545 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 521 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.05
Providers Billing
7
National Spending
$27K
Avg/Median Ratio
6.14×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99135
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881636397 | $25K |
| 2 | 1417156498 | $750 |
| 3 | 1093762635 | $595 |
| 4 | 1720220098 | $386 |
| 5 | 1164535571 | $306 |
| 6 | 1053358937 | $270 |
| 7 | 1659914737 | $175 |
| 8 | 1912223983 | $0 |
| 9 | 1770556037 | $0 |
Showing top 9 of 9 providers billing this code