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#2704 of 11K

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)

p10
$0.85
p25
$7.45
Median
$41.68
p75
$69.34
p90
$126.49
p95
$136.80
p99
$148.98

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

#ProviderTotal Paid
11285800342$931K
21821078882$789K
31174633143$382K
41053300541$235K
51003856774$210K
61255712584$162K
71841797743$115K
81770631202$104K
9Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$100K
10William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$87K
111740403658$66K
121457482192$59K
131306529805$48K
141700831724$47K
151598725491$46K
161962731745$44K
171740574573$41K
18The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$35K
191548253107$34K
201710958228$29K

Showing top 20 of 154 providers billing this code