99318
HCPCS Procedure Code
HCPCS code 99318 is the #2,661 most-billed Medicaid procedure code, with $4.3M in payments across 99K claims from 2018–2024. The national median cost per claim is $15.64. Costs vary widely — the 90th percentile is $44.52 per claim, 2.8× the median.
Total Paid
$4.3M
0.00% of all spending
Total Claims
99K
Providers
975
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for 99318? Based on 861 providers billing this code nationally.
Median
$15.64
Average
$21.02
Std Dev
$24.16
Max
$366.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.57 and $28.00 per claim for this code.
90% bill between $2.66 and $44.52.
Top 1% bill above $84.61.
About This Procedure
HCPCS code 99318 was billed by 975 providers across 99K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 87K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.64
Providers Billing
861
National Spending
$4.3M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99318
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588998744 | $2.4M |
| 2 | 1215129853 | $91K |
| 3 | 1154488393 | $82K |
| 4 | 1669575627 | $62K |
| 5 | 1376973461 | $62K |
| 6 | 1144677568 | $52K |
| 7 | 1952409971 | $39K |
| 8 | 1396999686 | $38K |
| 9 | 1578709515 | $36K |
| 10 | 1609362375 | $27K |
| 11 | 1609268259 | $26K |
| 12 | 1700177128 | $25K |
| 13 | 1508127226 | $24K |
| 14 | 1366423683 | $24K |
| 15 | 1316477896 | $20K |
| 16 | 1053469486 | $19K |
| 17 | 1063453991 | $18K |
| 18 | 1790343846 | $18K |
| 19 | 1154369510 | $17K |
| 20 | 1588695423 | $16K |
Showing top 20 of 975 providers billing this code