99235
HCPCS Procedure Code
HCPCS code 99235 is the #1,317 most-billed Medicaid procedure code, with $27.8M in payments across 219K claims from 2018–2024. The national median cost per claim is $110.13.
Total Paid
$27.8M
0.00% of all spending
Total Claims
219K
Providers
572
Avg Cost/Claim
$127
National Cost Distribution
How much do providers bill per claim for 99235? Based on 556 providers billing this code nationally.
Median
$110.13
Average
$118.20
Std Dev
$111.71
Max
$1,830.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $85.75 and $127.97 per claim for this code.
90% bill between $56.03 and $151.46.
Top 1% bill above $460.93.
About This Procedure
HCPCS code 99235 was billed by 572 providers across 219K claims, totaling $27.8M in Medicaid payments from 2018–2024. This code was used for 177K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$110.13
Providers Billing
556
National Spending
$27.8M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99235
| # | Provider | Total Paid |
|---|---|---|
| 1 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $2.7M |
| 2 | 1306940481 | $1.5M |
| 3 | 1295270254 | $1.2M |
| 4 | 1043260474 | $664K |
| 5 | 1346373156 | $648K |
| 6 | 1306882261 | $548K |
| 7 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $457K |
| 8 | 1790976199 | $427K |
| 9 | Albert Einstein Medical Center Phila, PA · General Acute Care Hospital | $405K |
| 10 | 1699212175 | $334K |
| 11 | 1154355931 | $324K |
| 12 | 1588651426 | $320K |
| 13 | 1720569973 | $318K |
| 14 | 1386160265 | $313K |
| 15 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $311K |
| 16 | 1346759768 | $303K |
| 17 | 1760133201 | $303K |
| 18 | 1679188189 | $302K |
| 19 | 1972039790 | $294K |
| 20 | 1700999471 | $280K |
Showing top 20 of 572 providers billing this code