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#2456 of 11K

99356

HCPCS Procedure Code

HCPCS code 99356 is the #2,456 most-billed Medicaid procedure code, with $5.7M in payments across 233K claims from 2018–2024. The national median cost per claim is $22.76. Costs vary widely — the 90th percentile is $58.18 per claim, 2.6× the median.

Total Paid

$5.7M

0.00% of all spending

Total Claims

233K

Providers

367

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 99356? Based on 337 providers billing this code nationally.

Median

$22.76

Average

$26.91

Std Dev

$22.49

Max

$117.15

Percentile Distribution (Cost per Claim)

p10
$3.07
p25
$8.37
Median
$22.76
p75
$38.77
p90
$58.18
p95
$64.75
p99
$93.51

50% of providers bill between $8.37 and $38.77 per claim for this code.

90% bill between $3.07 and $58.18.

Top 1% bill above $93.51.

About This Procedure

HCPCS code 99356 was billed by 367 providers across 233K claims, totaling $5.7M in Medicaid payments from 2018–2024. This code was used for 132K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.76

Providers Billing

337

National Spending

$5.7M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99356

#ProviderTotal Paid
11508968413$788K
21639100662$516K
31316079106$425K
41770961914$398K
51609853688$334K
61932208808$245K
71982708921$158K
81992176499$117K
91457456337$113K
10Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$93K
111770965758$91K
121366824161$89K
131902149776$79K
141992215446$77K
151699720086$71K
161407987498$70K
171437555265$67K
181700357076$61K
191669873733$57K
201205350881$51K

Showing top 20 of 367 providers billing this code