99151
HCPCS Procedure Code
HCPCS code 99151 is the #6,238 most-billed Medicaid procedure code, with $81K in payments across 10K claims from 2018–2024. The national median cost per claim is $13.52.
Total Paid
$81K
0.00% of all spending
Total Claims
10K
Providers
27
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 99151? Based on 22 providers billing this code nationally.
Median
$13.52
Average
$16.42
Std Dev
$22.21
Max
$87.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.23 and $16.88 per claim for this code.
90% bill between $1.31 and $21.41.
Top 1% bill above $85.05.
About This Procedure
HCPCS code 99151 was billed by 27 providers across 10K claims, totaling $81K in Medicaid payments from 2018–2024. This code was used for 9,408 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.52
Providers Billing
22
National Spending
$81K
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99151
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1306952726 | $20K |
| 2 | 1891912432 | $18K |
| 3 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $12K |
| 4 | 1861439952 | $10K |
| 5 | 1881632818 | $4K |
| 6 | 1811920549 | $4K |
| 7 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $4K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2K |
| 9 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $2K |
| 10 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $1K |
| 11 | 1972523348 | $1K |
| 12 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $880 |
| 13 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $563 |
| 14 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $490 |
| 15 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $275 |
| 16 | 1740574573 | $258 |
| 17 | 1891805727 | $194 |
| 18 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $91 |
| 19 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $69 |
| 20 | Hmh Hospitals Corporation Neptune, NJ · General Acute Care Hospital | $49 |
Showing top 20 of 27 providers billing this code