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#6238 of 11K

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)

p10
$1.31
p25
$4.23
Median
$13.52
p75
$16.88
p90
$21.41
p95
$72.00
p99
$85.05

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

#ProviderTotal Paid
11306952726$20K
21891912432$18K
3Saint Peter's University Hospital

New Brunswick, NJ · General Acute Care Hospital

$12K
41861439952$10K
51881632818$4K
61811920549$4K
7Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$4K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2K
9Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$2K
10Multicare Health System

Tacoma, WA · Community/Behavioral Health

$1K
111972523348$1K
12Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$880
13Cook Children's Physician Network

Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)

$563
14Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$490
15Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$275
161740574573$258
171891805727$194
18Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$91
19Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$69
20Hmh Hospitals Corporation

Neptune, NJ · General Acute Care Hospital

$49

Showing top 20 of 27 providers billing this code