99316
HCPCS Procedure Code
HCPCS code 99316 is the #3,133 most-billed Medicaid procedure code, with $2.4M in payments across 66K claims from 2018–2024. The national median cost per claim is $25.78. Costs vary widely — the 90th percentile is $57.23 per claim, 2.2× the median.
Total Paid
$2.4M
0.00% of all spending
Total Claims
66K
Providers
367
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 99316? Based on 347 providers billing this code nationally.
Median
$25.78
Average
$30.42
Std Dev
$22.53
Max
$159.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.00 and $41.83 per claim for this code.
90% bill between $7.16 and $57.23.
Top 1% bill above $100.38.
About This Procedure
HCPCS code 99316 was billed by 367 providers across 66K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 61K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.78
Providers Billing
347
National Spending
$2.4M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99316
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881109452 | $183K |
| 2 | 1609362375 | $142K |
| 3 | 1942267901 | $118K |
| 4 | Reliant Physicians (Kumar) Pllc Las Vegas, NV · Hospitalist | $115K |
| 5 | Maryland Medical First P.a. Baltimore, MD · Internal Medicine | $77K |
| 6 | 1215129853 | $72K |
| 7 | 1124313309 | $71K |
| 8 | 1710385554 | $69K |
| 9 | 1275576522 | $62K |
| 10 | 1538355144 | $60K |
| 11 | 1558318345 | $54K |
| 12 | 1669901567 | $47K |
| 13 | 1013466192 | $45K |
| 14 | 1093254419 | $43K |
| 15 | 1427246453 | $42K |
| 16 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $40K |
| 17 | 1801325634 | $38K |
| 18 | 1912105297 | $37K |
| 19 | 1194360784 | $37K |
| 20 | 1598297871 | $35K |
Showing top 20 of 367 providers billing this code