#771 of 11K

99220

HCPCS Procedure Code

HCPCS code 99220 is the #771 most-billed Medicaid procedure code, with $84.7M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $73.56.

Total Paid

$84.7M

0.01% of all spending

Total Claims

1.0M

Providers

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for 99220? Based on 2K providers billing this code nationally.

Median

$73.56

Average

$80.71

Std Dev

$84.74

Max

$3,046.00

Percentile Distribution (Cost per Claim)

p10

$34.20

p25

$50.94

Median

$73.56

p75

$97.38

p90

$125.37

p95

$153.29

p99

$214.52

50% of providers bill between $50.94 and $97.38 per claim for this code.

90% bill between $34.20 and $125.37.

Top 1% bill above $214.52.

About This Procedure

HCPCS code 99220 was billed by 2K providers across 1.0M claims, totaling $84.7M in Medicaid payments from 2018–2024. This code was used for 911K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$73.56

Providers Billing

National Spending

$84.7M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1124374822	$2.6M	$90.15	1.2× median	Above Median
2	1861627242	$2.4M	$116.86	1.6× median	Above 75th
3	Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital	$1.9M	$111.18	1.5× median	Above 75th
4	1083008072	$1.4M	$85.67	1.2× median	Above Median
5	Carilion Medical Center Roanoke, VA · General Acute Care Hospital	$1.4M	$47.53	0.6× median	Below Median
6	1497920524	$1.2M	$97.32	1.3× median	Above Median
7	University Physicians Incorporated Aurora, CO · Anesthesiology	$1.2M	$100.35	1.4× median	Above 75th
8	1487666277	$1.1M	$110.14	1.5× median	Above 75th
9	1093967861	$939K	$93.50	1.3× median	Above Median
10	William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease	$893K	$100.65	1.4× median	Above 75th
11	1265546261	$892K	$98.12	1.3× median	Above 75th
12	1578545273	$872K	$55.92	0.8× median	Below Median
13	1356394795	$778K	$63.50	0.9× median	Below Median
14	Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty	$649K	$89.61	1.2× median	Above Median
15	1801304688	$645K	$99.76	1.4× median	Above 75th
16	1891702833	$622K	$98.92	1.3× median	Above 75th
17	1497748743	$613K	$82.78	1.1× median	Above Median
18	1306940481	$548K	$121.04	1.6× median	Above 75th
19	1619504735	$543K	$105.93	1.4× median	Above 75th
20	1093003550	$528K	$86.28	1.2× median	Above Median

Showing top 20 of 2K providers billing this code

Related Procedures

99213Office/outpatient visit, est. patient, low-mod complexity$33.00B 99214Office/outpatient visit, est. patient, mod-high complexity$29.91B 99212Office/outpatient visit, low complexity$3.85B 99215Office/outpatient visit, high complexity$2.77B 99211Office/outpatient visit, minimal complexity$1.73B

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