99307
HCPCS Procedure Code
HCPCS code 99307 is the #909 most-billed Medicaid procedure code, with $60.0M in payments across 6.8M claims from 2018–2024. The national median cost per claim is $6.57. Costs vary widely — the 90th percentile is $19.57 per claim, 3.0× the median.
Total Paid
$60.0M
0.01% of all spending
Total Claims
6.8M
Providers
6K
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 99307? Based on 6K providers billing this code nationally.
Median
$6.57
Average
$9.27
Std Dev
$11.98
Max
$345.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.32 and $11.58 per claim for this code.
90% bill between $1.46 and $19.57.
Top 1% bill above $43.50.
About This Procedure
HCPCS code 99307 was billed by 6K providers across 6.8M claims, totaling $60.0M in Medicaid payments from 2018–2024. This code was used for 4.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.57
Providers Billing
6K
National Spending
$60.0M
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99307
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669835310 | $2.4M |
| 2 | 1740555267 | $1.8M |
| 3 | 1043537046 | $1.7M |
| 4 | 1669575627 | $1.1M |
| 5 | 1073799367 | $850K |
| 6 | 1285038596 | $848K |
| 7 | 1700192028 | $632K |
| 8 | 1669425906 | $559K |
| 9 | 1558927905 | $512K |
| 10 | 1245256650 | $460K |
| 11 | 1801307368 | $460K |
| 12 | 1891053823 | $444K |
| 13 | 1689613598 | $411K |
| 14 | 1750477808 | $398K |
| 15 | 1881640142 | $379K |
| 16 | 1154488393 | $370K |
| 17 | 1881688307 | $330K |
| 18 | 1942275805 | $324K |
| 19 | 1114115706 | $319K |
| 20 | 1114276425 | $286K |
Showing top 20 of 6K providers billing this code