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#8478 of 11K

99213GT

HCPCS Procedure Code

HCPCS code 99213GT is the #8,478 most-billed Medicaid procedure code, with $3K in payments across 40 claims from 2018–2024. The national median cost per claim is $73.15.

Total Paid

$3K

0.00% of all spending

Total Claims

40

Providers

3

Avg Cost/Claim

$67

National Cost Distribution

How much do providers bill per claim for 99213GT? Based on 3 providers billing this code nationally.

Median

$73.15

Average

$67.41

Std Dev

$9.94

Max

$73.15

Percentile Distribution (Cost per Claim)

p10
$59.38
p25
$64.54
Median
$73.15
p75
$73.15
p90
$73.15
p95
$73.15
p99
$73.15

50% of providers bill between $64.54 and $73.15 per claim for this code.

90% bill between $59.38 and $73.15.

Top 1% bill above $73.15.

About This Procedure

HCPCS code 99213GT was billed by 3 providers across 40 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 40 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.15

Providers Billing

3

National Spending

$3K

Avg/Median Ratio

0.92×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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