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#2661 of 11K

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)

p10
$2.66
p25
$6.57
Median
$15.64
p75
$28.00
p90
$44.52
p95
$57.65
p99
$84.61

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

#ProviderTotal Paid
11588998744$2.4M
21215129853$91K
31154488393$82K
41669575627$62K
51376973461$62K
61144677568$52K
71952409971$39K
81396999686$38K
91578709515$36K
101609362375$27K
111609268259$26K
121700177128$25K
131508127226$24K
141366423683$24K
151316477896$20K
161053469486$19K
171063453991$18K
181790343846$18K
191154369510$17K
201588695423$16K

Showing top 20 of 975 providers billing this code