Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2960 of 11K

99224

HCPCS Procedure Code

HCPCS code 99224 is the #2,960 most-billed Medicaid procedure code, with $2.9M in payments across 63K claims from 2018–2024. The national median cost per claim is $17.79. Costs vary widely — the 90th percentile is $57.16 per claim, 3.2× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

63K

Providers

161

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 99224? Based on 154 providers billing this code nationally.

Median

$17.79

Average

$33.40

Std Dev

$109.12

Max

$1,308.94

Percentile Distribution (Cost per Claim)

p10
$4.90
p25
$9.22
Median
$17.79
p75
$26.21
p90
$57.16
p95
$68.63
p99
$268.00

50% of providers bill between $9.22 and $26.21 per claim for this code.

90% bill between $4.90 and $57.16.

Top 1% bill above $268.00.

About This Procedure

HCPCS code 99224 was billed by 161 providers across 63K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.79

Providers Billing

154

National Spending

$2.9M

Avg/Median Ratio

1.88×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99224

#ProviderTotal Paid
11346759768$1.4M
21962804468$719K
3Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$120K
4Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$58K
5Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital

$57K
61639134794$38K
71326278375$32K
8Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$31K
9Dignity Health

San Bernardino, CA · General Acute Care Hospital

$28K
101013981554$28K
111366407603$23K
121538582945$20K
131154368116$20K
14Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$20K
151457446403$18K
16Community Hospital Of San Bernardino

San Bernardino, CA · General Acute Care Hospital

$16K
171174187637$16K
18Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$15K
191730578667$13K
20Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$12K

Showing top 20 of 161 providers billing this code