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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750845863 | $4.4M |
| 2 | 1689716797 | $4.3M |
| 3 | 1336153295 | $3.3M |
| 4 | 1689158487 | $2.3M |
| 5 | 1073795019 | $2.2M |
| 6 | 1811138415 | $2.0M |
| 7 | 1821695255 | $1.6M |
| 8 | 1891044657 | $1.2M |
| 9 | 1508815358 | $797K |
| 10 | 1669091864 | $657K |
| 11 | 1588185581 | $597K |
| 12 | 1366768160 | $414K |
| 13 | 1679510499 | $378K |
| 14 | 1497700397 | $261K |
| 15 | 1174187728 | $245K |
| 16 | 1790309474 | $227K |
| 17 | 1821101809 | $202K |
| 18 | 1699392787 | $184K |
| 19 | 1538441761 | $167K |
| 20 | 1639433063 | $158K |
Showing top 20 of 490 providers billing this code