99218
HCPCS Procedure Code
HCPCS code 99218 is the #1,115 most-billed Medicaid procedure code, with $39.7M in payments across 311K claims from 2018–2024. The national median cost per claim is $51.50. Costs vary widely — the 90th percentile is $171.10 per claim, 3.3× the median.
Total Paid
$39.7M
0.00% of all spending
Total Claims
311K
Providers
774
Avg Cost/Claim
$128
National Cost Distribution
How much do providers bill per claim for 99218? Based on 743 providers billing this code nationally.
Median
$51.50
Average
$87.25
Std Dev
$155.27
Max
$2,130.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.72 and $68.39 per claim for this code.
90% bill between $19.53 and $171.10.
Top 1% bill above $604.79.
About This Procedure
HCPCS code 99218 was billed by 774 providers across 311K claims, totaling $39.7M in Medicaid payments from 2018–2024. This code was used for 228K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.50
Providers Billing
743
National Spending
$39.7M
Avg/Median Ratio
1.69×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99218
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467504555 | $4.2M |
| 2 | The Health And Hospital Corporation Of Marion County Indianapolis, IN · Psychiatric Unit | $3.5M |
| 3 | 1184654923 | $3.1M |
| 4 | 1114958584 | $2.9M |
| 5 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $2.1M |
| 6 | 1053361642 | $1.3M |
| 7 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $1.0M |
| 8 | 1003216391 | $967K |
| 9 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $853K |
| 10 | 1356435341 | $592K |
| 11 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $494K |
| 12 | 1053382697 | $488K |
| 13 | 1194368167 | $438K |
| 14 | 1063812907 | $434K |
| 15 | 1295772093 | $393K |
| 16 | 1619038247 | $390K |
| 17 | 1972503647 | $372K |
| 18 | 1386749893 | $361K |
| 19 | 1245390855 | $337K |
| 20 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $290K |
Showing top 20 of 774 providers billing this code