99358
HCPCS Procedure Code
HCPCS code 99358 is the #2,519 most-billed Medicaid procedure code, with $5.2M in payments across 261K claims from 2018–2024. The national median cost per claim is $14.34. Costs vary widely — the 90th percentile is $63.31 per claim, 4.4× the median.
Total Paid
$5.2M
0.00% of all spending
Total Claims
261K
Providers
656
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 99358? Based on 521 providers billing this code nationally.
Median
$14.34
Average
$26.06
Std Dev
$34.83
Max
$469.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.06 and $36.99 per claim for this code.
90% bill between $1.49 and $63.31.
Top 1% bill above $130.38.
About This Procedure
HCPCS code 99358 was billed by 656 providers across 261K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 189K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.34
Providers Billing
521
National Spending
$5.2M
Avg/Median Ratio
1.82×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99358
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114483864 | $436K |
| 2 | 1548765258 | $221K |
| 3 | 1235187311 | $218K |
| 4 | 1154727147 | $182K |
| 5 | 1235107566 | $171K |
| 6 | 1376709535 | $140K |
| 7 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $134K |
| 8 | 1033353941 | $108K |
| 9 | 1427579192 | $105K |
| 10 | 1821695081 | $105K |
| 11 | 1477027381 | $96K |
| 12 | 1942423579 | $94K |
| 13 | 1831443787 | $92K |
| 14 | 1396259149 | $86K |
| 15 | 1528546108 | $82K |
| 16 | 1265833396 | $76K |
| 17 | 1518048859 | $74K |
| 18 | 1902149776 | $67K |
| 19 | 1932560729 | $66K |
| 20 | 1053628511 | $66K |
Showing top 20 of 656 providers billing this code