99304
HCPCS Procedure Code
HCPCS code 99304 is the #1,855 most-billed Medicaid procedure code, with $12.7M in payments across 440K claims from 2018–2024. The national median cost per claim is $13.51. Costs vary widely — the 90th percentile is $43.56 per claim, 3.2× the median.
Total Paid
$12.7M
0.00% of all spending
Total Claims
440K
Providers
1,560
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for 99304? Based on 1,429 providers billing this code nationally.
Median
$13.51
Average
$27.72
Std Dev
$53.50
Max
$415.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.03 and $25.36 per claim for this code.
90% bill between $3.23 and $43.56.
Top 1% bill above $300.61.
About This Procedure
HCPCS code 99304 was billed by 1,560 providers across 440K claims, totaling $12.7M in Medicaid payments from 2018–2024. This code was used for 388K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.51
Providers Billing
1,429
National Spending
$12.7M
Avg/Median Ratio
2.05×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99304
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1578709515 | $865K |
| 2 | 1417152570 | $826K |
| 3 | 1811049026 | $389K |
| 4 | 1184167991 | $308K |
| 5 | 1487790937 | $299K |
| 6 | 1679542658 | $244K |
| 7 | 1871594614 | $242K |
| 8 | 1083883938 | $234K |
| 9 | 1003113705 | $226K |
| 10 | 1659610814 | $223K |
| 11 | 1639178809 | $195K |
| 12 | 1962951715 | $191K |
| 13 | 1841275344 | $188K |
| 14 | 1487654042 | $185K |
| 15 | 1104825520 | $183K |
| 16 | 1083962294 | $168K |
| 17 | 1649222506 | $159K |
| 18 | 1588122535 | $156K |
| 19 | 1801193768 | $153K |
| 20 | 1114393311 | $148K |
Showing top 20 of 1,560 providers billing this code