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#959 of 11K

99354

HCPCS Procedure Code

HCPCS code 99354 is the #959 most-billed Medicaid procedure code, with $54.1M in payments across 987K claims from 2018–2024. The national median cost per claim is $54.96.

Total Paid

$54.1M

0.00% of all spending

Total Claims

987K

Providers

1K

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for 99354? Based on 1K providers billing this code nationally.

Median

$54.96

Average

$53.60

Std Dev

$31.92

Max

$299.00

Percentile Distribution (Cost per Claim)

p10
$8.32
p25
$32.33
Median
$54.96
p75
$71.00
p90
$88.53
p95
$102.53
p99
$142.95

50% of providers bill between $32.33 and $71.00 per claim for this code.

90% bill between $8.32 and $88.53.

Top 1% bill above $142.95.

About This Procedure

HCPCS code 99354 was billed by 1K providers across 987K claims, totaling $54.1M in Medicaid payments from 2018–2024. This code was used for 536K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.96

Providers Billing

1K

National Spending

$54.1M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99354

#ProviderTotal Paid
11992974570$3.7M
2Ohioguidestone

Berea, OH · Community/Behavioral Health

$1.9M
31235551094$1.8M
4Mountain Comprehensive Care Center, Inc.

Prestonsburg, KY · Counselor, Mental Health

$1.7M
51609869726$1.5M
61689184913$1.3M
71790872562$1.2M
8Nystrom & Associates, Ltd

New Brighton, MN · Marriage & Family Therapist

$1.2M
91083902191$1.1M
10Wasatch Behavioral Health Special Service District

Provo, UT · Community/Behavioral Health

$1.0M
111417324989$861K
121932590338$833K
131952780074$764K
14Seven Counties Services, Inc.

Louisville, KY · Counselor

$731K
151518048859$710K
161427229483$691K
17Integrated Services For Behavioral Health

Nelsonville, OH · Social Worker, Clinical

$660K
181841566387$635K
191306078514$634K
201700315413$586K

Showing top 20 of 1K providers billing this code