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#1340 of 11K

99347

HCPCS Procedure Code

HCPCS code 99347 is the #1,340 most-billed Medicaid procedure code, with $26.7M in payments across 754K claims from 2018–2024. The national median cost per claim is $11.74. Costs vary widely — the 90th percentile is $37.32 per claim, 3.2× the median.

Total Paid

$26.7M

0.00% of all spending

Total Claims

754K

Providers

1,204

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 99347? Based on 1,070 providers billing this code nationally.

Median

$11.74

Average

$25.36

Std Dev

$64.33

Max

$774.19

Percentile Distribution (Cost per Claim)

p10
$1.81
p25
$5.18
Median
$11.74
p75
$21.77
p90
$37.32
p95
$75.84
p99
$377.93

50% of providers bill between $5.18 and $21.77 per claim for this code.

90% bill between $1.81 and $37.32.

Top 1% bill above $377.93.

About This Procedure

HCPCS code 99347 was billed by 1,204 providers across 754K claims, totaling $26.7M in Medicaid payments from 2018–2024. This code was used for 535K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.74

Providers Billing

1,070

National Spending

$26.7M

Avg/Median Ratio

2.16×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99347

#ProviderTotal Paid
11336522143$4.8M
21588100986$4.2M
31700359700$3.0M
4Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$1.8M
51073530150$926K
61639736010$680K
71154096865$565K
8County Of San Diego

San Diego, CA · Public Health or Welfare

$479K
91114167228$441K
101760804272$420K
111083356489$388K
121700027927$354K
131548567902$314K
141538816780$311K
151801564182$284K
161760698112$249K
171790211134$243K
181578724183$242K
191336194448$201K
201043537046$193K

Showing top 20 of 1,204 providers billing this code