99383
Preventive visit, new patient, late childhood (5-11 yr)
Preventive visit, new patient, late childhood (5-11 yr) is the #1,030 most-billed Medicaid procedure code, with $47.1M in payments across 738K claims from 2018–2024. The national median cost per claim is $81.92.
Total Paid
$47.1M
0.00% of all spending
Total Claims
738K
Providers
4K
Avg Cost/Claim
$64
National Cost Distribution
How much do providers bill per claim for 99383? Based on 4K providers billing this code nationally.
Median
$81.92
Average
$78.30
Std Dev
$45.81
Max
$527.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $54.09 and $97.62 per claim for this code.
90% bill between $14.81 and $119.36.
Top 1% bill above $216.96.
About This Procedure
HCPCS code 99383 (Preventive visit, new patient, late childhood (5-11 yr)) was billed by 4K providers across 738K claims, totaling $47.1M in Medicaid payments from 2018–2024. This code was used for 673K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$81.92
Providers Billing
4K
National Spending
$47.1M
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99383
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790839405 | $5.6M |
| 2 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $723K |
| 3 | Barrio Comprehensive Family Health Care Center, Inc. San Antonio, TX · Clinic/Center, Multi-Specialty | $636K |
| 4 | Los Angeles Unified School District Los Angeles, CA · Social Worker School | $634K |
| 5 | 1720082571 | $623K |
| 6 | 1902099104 | $572K |
| 7 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $428K |
| 8 | 1699812099 | $426K |
| 9 | El Centro Del Barrio, Inc. San Antonio, TX · Clinic/Center, Federally Qualified Health Center (FQHC) | $418K |
| 10 | 1124078019 | $409K |
| 11 | 1881742575 | $387K |
| 12 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $383K |
| 13 | Legacy Community Health Services, Inc Houston, TX · Pediatrics | $376K |
| 14 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $356K |
| 15 | Community Care Health Network Llc Nashville, TN · Nurse Practitioner | $353K |
| 16 | 1821288606 | $338K |
| 17 | 1174872139 | $327K |
| 18 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $320K |
| 19 | 1124162854 | $287K |
| 20 | 1306954631 | $280K |
Showing top 20 of 4K providers billing this code