99328
HCPCS Procedure Code
HCPCS code 99328 is the #4,172 most-billed Medicaid procedure code, with $785K in payments across 10K claims from 2018–2024. The national median cost per claim is $42.88. Costs vary widely — the 90th percentile is $133.34 per claim, 3.1× the median.
Total Paid
$785K
0.00% of all spending
Total Claims
10K
Providers
111
Avg Cost/Claim
$76
National Cost Distribution
How much do providers bill per claim for 99328? Based on 105 providers billing this code nationally.
Median
$42.88
Average
$60.99
Std Dev
$59.25
Max
$444.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.94 and $84.37 per claim for this code.
90% bill between $8.22 and $133.34.
Top 1% bill above $221.82.
About This Procedure
HCPCS code 99328 was billed by 111 providers across 10K claims, totaling $785K in Medicaid payments from 2018–2024. This code was used for 8,787 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.88
Providers Billing
105
National Spending
$785K
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99328
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700124419 | $195K |
| 2 | 1720524333 | $77K |
| 3 | 1942811765 | $66K |
| 4 | 1700433885 | $42K |
| 5 | 1568692788 | $41K |
| 6 | 1508405077 | $29K |
| 7 | 1770961914 | $26K |
| 8 | 1245780303 | $24K |
| 9 | 1811391717 | $19K |
| 10 | 1215422126 | $18K |
| 11 | 1306992201 | $16K |
| 12 | 1942335203 | $15K |
| 13 | 1003170366 | $12K |
| 14 | 1487169660 | $11K |
| 15 | 1083829659 | $10K |
| 16 | 1083854897 | $10K |
| 17 | 1598125791 | $9K |
| 18 | 1811286156 | $9K |
| 19 | 1578595971 | $9K |
| 20 | 1548760820 | $8K |
Showing top 20 of 111 providers billing this code