99152
HCPCS Procedure Code
HCPCS code 99152 is the #1,149 most-billed Medicaid procedure code, with $37.0M in payments across 2.7M claims from 2018–2024. The national median cost per claim is $7.34. Costs vary widely — the 90th percentile is $33.56 per claim, 4.6× the median.
Total Paid
$37.0M
0.00% of all spending
Total Claims
2.7M
Providers
3,711
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 99152? Based on 3,404 providers billing this code nationally.
Median
$7.34
Average
$14.06
Std Dev
$20.64
Max
$346.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.02 and $17.43 per claim for this code.
90% bill between $1.28 and $33.56.
Top 1% bill above $82.20.
About This Procedure
HCPCS code 99152 was billed by 3,711 providers across 2.7M claims, totaling $37.0M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.34
Providers Billing
3,404
National Spending
$37.0M
Avg/Median Ratio
1.92×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99152
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720282585 | $681K |
| 2 | 1205835485 | $641K |
| 3 | 1265982375 | $616K |
| 4 | 1457319485 | $534K |
| 5 | 1720631708 | $493K |
| 6 | 1184957268 | $492K |
| 7 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $372K |
| 8 | 1356307581 | $338K |
| 9 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $323K |
| 10 | 1790759298 | $311K |
| 11 | 1588899512 | $307K |
| 12 | 1659431443 | $306K |
| 13 | 1457399032 | $288K |
| 14 | 1497780480 | $283K |
| 15 | 1275710964 | $260K |
| 16 | 1851322028 | $259K |
| 17 | 1831218627 | $258K |
| 18 | 1336192665 | $241K |
| 19 | 1073929121 | $234K |
| 20 | 1003015843 | $227K |
Showing top 20 of 3,711 providers billing this code