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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508968413 | $788K |
| 2 | 1639100662 | $516K |
| 3 | 1316079106 | $425K |
| 4 | 1770961914 | $398K |
| 5 | 1609853688 | $334K |
| 6 | 1932208808 | $245K |
| 7 | 1982708921 | $158K |
| 8 | 1992176499 | $117K |
| 9 | 1457456337 | $113K |
| 10 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $93K |
| 11 | 1770965758 | $91K |
| 12 | 1366824161 | $89K |
| 13 | 1902149776 | $79K |
| 14 | 1992215446 | $77K |
| 15 | 1699720086 | $71K |
| 16 | 1407987498 | $70K |
| 17 | 1437555265 | $67K |
| 18 | 1700357076 | $61K |
| 19 | 1669873733 | $57K |
| 20 | 1205350881 | $51K |
Showing top 20 of 367 providers billing this code