99233
Subsequent hospital care, per day, high complexity
Subsequent hospital care, per day, high complexity is the #74 most-billed Medicaid procedure code, with $2.61B in payments across 57.6M claims from 2018–2024. The national median cost per claim is $35.30. Costs vary widely — the 90th percentile is $72.92 per claim, 2.1× the median.
Total Paid
$2.61B
0.24% of all spending
Total Claims
57.6M
Providers
22K
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 99233? Based on 21K providers billing this code nationally.
Median
$35.30
Average
$41.85
Std Dev
$47.23
Max
$1,916.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.02 and $53.71 per claim for this code.
90% bill between $13.43 and $72.92.
Top 1% bill above $143.47.
About This Procedure
HCPCS code 99233 (Subsequent hospital care, per day, high complexity) was billed by 22K providers across 57.6M claims, totaling $2.61B in Medicaid payments from 2018–2024. This code was used for 20.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.30
Providers Billing
21K
National Spending
$2.61B
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99233
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124374822 | $27.9M |
| 2 | 1316902208 | $23.9M |
| 3 | 1861627242 | $18.8M |
| 4 | County Of San Diego San Diego, CA · Public Health or Welfare | $16.9M |
| 5 | Medstar Medical Group Ii Llc Baltimore, MD · General Practice | $16.5M |
| 6 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $14.4M |
| 7 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $14.3M |
| 8 | 1083008072 | $11.3M |
| 9 | 1619987302 | $10.9M |
| 10 | 1952792475 | $10.8M |
| 11 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $10.1M |
| 12 | 1699157701 | $9.8M |
| 13 | 1568758266 | $9.2M |
| 14 | 1265546261 | $9.2M |
| 15 | 1083647754 | $9.0M |
| 16 | County Of Tulare Visalia, CA · Clinic/Center Public Health State or Local | $8.9M |
| 17 | 1750751566 | $8.8M |
| 18 | 1154369510 | $8.7M |
| 19 | 1023285756 | $8.6M |
| 20 | Community Medical Associates, Inc. Louisville, KY · Clinical Neuropsychologist | $8.5M |
Showing top 20 of 22K providers billing this code