99156
HCPCS Procedure Code
HCPCS code 99156 is the #2,704 most-billed Medicaid procedure code, with $4.0M in payments across 84K claims from 2018–2024. The national median cost per claim is $41.68. Costs vary widely — the 90th percentile is $126.49 per claim, 3.0× the median.
Total Paid
$4.0M
0.00% of all spending
Total Claims
84K
Providers
154
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for 99156? Based on 117 providers billing this code nationally.
Median
$41.68
Average
$49.66
Std Dev
$47.50
Max
$237.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.45 and $69.34 per claim for this code.
90% bill between $0.85 and $126.49.
Top 1% bill above $148.98.
About This Procedure
HCPCS code 99156 was billed by 154 providers across 84K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 71K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$41.68
Providers Billing
117
National Spending
$4.0M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99156
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285800342 | $931K |
| 2 | 1821078882 | $789K |
| 3 | 1174633143 | $382K |
| 4 | 1053300541 | $235K |
| 5 | 1003856774 | $210K |
| 6 | 1255712584 | $162K |
| 7 | 1841797743 | $115K |
| 8 | 1770631202 | $104K |
| 9 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $100K |
| 10 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $87K |
| 11 | 1740403658 | $66K |
| 12 | 1457482192 | $59K |
| 13 | 1306529805 | $48K |
| 14 | 1700831724 | $47K |
| 15 | 1598725491 | $46K |
| 16 | 1962731745 | $44K |
| 17 | 1740574573 | $41K |
| 18 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $35K |
| 19 | 1548253107 | $34K |
| 20 | 1710958228 | $29K |
Showing top 20 of 154 providers billing this code