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#1285 of 11K

99342

HCPCS Procedure Code

HCPCS code 99342 is the #1,285 most-billed Medicaid procedure code, with $29.2M in payments across 229K claims from 2018–2024. The national median cost per claim is $32.19. Costs vary widely — the 90th percentile is $338.76 per claim, 10.5× the median.

Total Paid

$29.2M

0.00% of all spending

Total Claims

229K

Providers

490

Avg Cost/Claim

$128

National Cost Distribution

How much do providers bill per claim for 99342? Based on 439 providers billing this code nationally.

Median

$32.19

Average

$101.82

Std Dev

$150.07

Max

$1,280.00

Percentile Distribution (Cost per Claim)

p10
$3.60
p25
$10.57
Median
$32.19
p75
$150.00
p90
$338.76
p95
$353.75
p99
$368.75

50% of providers bill between $10.57 and $150.00 per claim for this code.

90% bill between $3.60 and $338.76.

Top 1% bill above $368.75.

About This Procedure

HCPCS code 99342 was billed by 490 providers across 229K claims, totaling $29.2M in Medicaid payments from 2018–2024. This code was used for 211K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.19

Providers Billing

439

National Spending

$29.2M

Avg/Median Ratio

3.16×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99342

#ProviderTotal Paid
11750845863$4.4M
21689716797$4.3M
31336153295$3.3M
41689158487$2.3M
51073795019$2.2M
61811138415$2.0M
71821695255$1.6M
81891044657$1.2M
91508815358$797K
101669091864$657K
111588185581$597K
121366768160$414K
131679510499$378K
141497700397$261K
151174187728$245K
161790309474$227K
171821101809$202K
181699392787$184K
191538441761$167K
201639433063$158K

Showing top 20 of 490 providers billing this code