99368
HCPCS Procedure Code
HCPCS code 99368 is the #2,859 most-billed Medicaid procedure code, with $3.3M in payments across 85K claims from 2018–2024. The national median cost per claim is $19.67. Costs vary widely — the 90th percentile is $380.32 per claim, 19.3× the median.
Total Paid
$3.3M
0.00% of all spending
Total Claims
85K
Providers
185
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for 99368? Based on 105 providers billing this code nationally.
Median
$19.67
Average
$84.05
Std Dev
$155.80
Max
$744.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.43 and $34.95 per claim for this code.
90% bill between $1.28 and $380.32.
Top 1% bill above $535.98.
About This Procedure
HCPCS code 99368 was billed by 185 providers across 85K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.67
Providers Billing
105
National Spending
$3.3M
Avg/Median Ratio
4.27×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99368
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $1.2M |
| 2 | 1083952857 | $433K |
| 3 | County Of Sacramento Sacramento, CA · Clinic/Center Adult Mental Health | $234K |
| 4 | County Of San Diego San Diego, CA · Public Health or Welfare | $188K |
| 5 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $139K |
| 6 | 1831122241 | $114K |
| 7 | 1649281577 | $84K |
| 8 | 1073635405 | $83K |
| 9 | 1700949336 | $81K |
| 10 | 1154342814 | $72K |
| 11 | 1811946734 | $70K |
| 12 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $65K |
| 13 | 1962658500 | $48K |
| 14 | County Of Riverside Riverside, CA · Community/Behavioral Health | $46K |
| 15 | 1205385556 | $40K |
| 16 | 1447557335 | $37K |
| 17 | 1639278369 | $36K |
| 18 | 1467763797 | $32K |
| 19 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $27K |
| 20 | 1447354089 | $21K |
Showing top 20 of 185 providers billing this code