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#1149 of 11K

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)

p10
$1.28
p25
$4.02
Median
$7.34
p75
$17.43
p90
$33.56
p95
$45.33
p99
$82.20

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

#ProviderTotal Paid
11720282585$681K
21205835485$641K
31265982375$616K
41457319485$534K
51720631708$493K
61184957268$492K
7Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$372K
81356307581$338K
9Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$323K
101790759298$311K
111588899512$307K
121659431443$306K
131457399032$288K
141497780480$283K
151275710964$260K
161851322028$259K
171831218627$258K
181336192665$241K
191073929121$234K
201003015843$227K

Showing top 20 of 3,711 providers billing this code