99366
HCPCS Procedure Code
HCPCS code 99366 is the #1,998 most-billed Medicaid procedure code, with $10.3M in payments across 158K claims from 2018–2024. The national median cost per claim is $37.02. Costs vary widely — the 90th percentile is $101.72 per claim, 2.7× the median.
Total Paid
$10.3M
0.00% of all spending
Total Claims
158K
Providers
176
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 99366? Based on 142 providers billing this code nationally.
Median
$37.02
Average
$64.83
Std Dev
$102.73
Max
$613.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.00 and $55.22 per claim for this code.
90% bill between $8.96 and $101.72.
Top 1% bill above $511.69.
About This Procedure
HCPCS code 99366 was billed by 176 providers across 158K claims, totaling $10.3M in Medicaid payments from 2018–2024. This code was used for 128K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.02
Providers Billing
142
National Spending
$10.3M
Avg/Median Ratio
1.75×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99366
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083952857 | $5.2M |
| 2 | 1760596480 | $712K |
| 3 | 1376628990 | $571K |
| 4 | County Of Sacramento Sacramento, CA · Clinic/Center Adult Mental Health | $451K |
| 5 | 1164457735 | $401K |
| 6 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $325K |
| 7 | 1356397228 | $257K |
| 8 | 1427168889 | $218K |
| 9 | 1013476787 | $202K |
| 10 | 1831200310 | $152K |
| 11 | 1932164308 | $138K |
| 12 | 1861425282 | $130K |
| 13 | 1689067886 | $106K |
| 14 | County Of Ventura Oxnard, CA · Community/Behavioral Health | $85K |
| 15 | 1447354089 | $80K |
| 16 | 1609979640 | $74K |
| 17 | 1629361217 | $70K |
| 18 | 1851343586 | $66K |
| 19 | 1619995370 | $66K |
| 20 | 1982007464 | $61K |
Showing top 20 of 176 providers billing this code