99325
HCPCS Procedure Code
HCPCS code 99325 is the #4,682 most-billed Medicaid procedure code, with $454K in payments across 19K claims from 2018–2024. The national median cost per claim is $13.55. Costs vary widely — the 90th percentile is $45.60 per claim, 3.4× the median.
Total Paid
$454K
0.00% of all spending
Total Claims
19K
Providers
205
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 99325? Based on 171 providers billing this code nationally.
Median
$13.55
Average
$19.41
Std Dev
$17.28
Max
$87.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.12 and $28.52 per claim for this code.
90% bill between $3.12 and $45.60.
Top 1% bill above $74.62.
About This Procedure
HCPCS code 99325 was billed by 205 providers across 19K claims, totaling $454K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.55
Providers Billing
171
National Spending
$454K
Avg/Median Ratio
1.43×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99325
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962804468 | $113K |
| 2 | 1083962294 | $58K |
| 3 | 1215422126 | $38K |
| 4 | 1144762139 | $36K |
| 5 | 1508272188 | $27K |
| 6 | 1417251935 | $18K |
| 7 | 1609425115 | $13K |
| 8 | 1033492673 | $11K |
| 9 | 1679741920 | $11K |
| 10 | 1255603619 | $8K |
| 11 | 1568002160 | $7K |
| 12 | 1639147101 | $4K |
| 13 | 1962822106 | $4K |
| 14 | 1508079310 | $4K |
| 15 | 1871940445 | $3K |
| 16 | 1235283094 | $3K |
| 17 | 1063632826 | $3K |
| 18 | 1346435765 | $3K |
| 19 | 1619276367 | $3K |
| 20 | 1437675980 | $2K |
Showing top 20 of 205 providers billing this code