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#3844 of 11K

99326

HCPCS Procedure Code

HCPCS code 99326 is the #3,844 most-billed Medicaid procedure code, with $1.1M in payments across 26K claims from 2018–2024. The national median cost per claim is $25.03. Costs vary widely — the 90th percentile is $63.22 per claim, 2.5× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

26K

Providers

242

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for 99326? Based on 204 providers billing this code nationally.

Median

$25.03

Average

$30.59

Std Dev

$25.55

Max

$146.77

Percentile Distribution (Cost per Claim)

p10
$5.27
p25
$10.99
Median
$25.03
p75
$42.12
p90
$63.22
p95
$79.45
p99
$117.01

50% of providers bill between $10.99 and $42.12 per claim for this code.

90% bill between $5.27 and $63.22.

Top 1% bill above $117.01.

About This Procedure

HCPCS code 99326 was billed by 242 providers across 26K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.03

Providers Billing

204

National Spending

$1.1M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99326

#ProviderTotal Paid
11770689242$370K
21497765150$230K
31215422126$80K
41750746095$26K
51568002160$21K
61700124419$18K
71124009048$18K
81184653008$18K
91083637805$17K
101508272188$16K
111770961914$15K
121811994973$13K
131295934438$12K
141144810912$11K
151003956079$11K
161497379069$7K
171386148856$7K
181942811765$6K
191245356369$6K
201891942645$6K

Showing top 20 of 242 providers billing this code