#5798 of 11K

99387

HCPCS Procedure Code

HCPCS code 99387 is the #5,798 most-billed Medicaid procedure code, with $136K in payments across 3,900 claims from 2018–2024. The national median cost per claim is $36.78. Costs vary widely — the 90th percentile is $350.00 per claim, 9.5× the median.

Total Paid

$136K

0.00% of all spending

Total Claims

3,900

Providers

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 99387? Based on 35 providers billing this code nationally.

Median

$36.78

Average

$108.76

Std Dev

$145.01

Max

$500.00

Percentile Distribution (Cost per Claim)

p10

$0.19

p25

$9.02

Median

$36.78

p75

$146.71

p90

$350.00

p95

$357.20

p99

$457.16

50% of providers bill between $9.02 and $146.71 per claim for this code.

90% bill between $0.19 and $350.00.

Top 1% bill above $457.16.

About This Procedure

HCPCS code 99387 was billed by 52 providers across 3,900 claims, totaling $136K in Medicaid payments from 2018–2024. This code was used for 3,415 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.78

Providers Billing

National Spending

$136K

Avg/Median Ratio

2.96×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99387

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1255793162	$23K	$350.00	9.5× median	Top 10%
2	1720513831	$16K	$500.00	13.6× median	Top 1%
3	1487699575	$14K	$350.00	9.5× median	Top 10%
4	1821552761	$13K	$350.00	9.5× median	Top 10%
5	1821101809	$9K	$228.85	6.2× median	Above 75th
6	1184906646	$8K	$15.92	0.4× median	Below Median
7	1972528032	$8K	$49.11	1.3× median	Above Median
8	1831639384	$7K	$350.00	9.5× median	Top 10%
9	1891803037	$6K	$16.76	0.5× median	Below Median
10	1841373800	$4K	$374.00	10.2× median	Top 10%
11	1275972655	$4K	$333.33	9.1× median	Above 75th
12	1427330091	$4K	$12.69	0.3× median	Below Median
13	1003586801	$3K	$167.88	4.6× median	Above 75th
14	1679102917	$2K	$8.90	0.2× median	Below Median
15	1477669323	$2K	$125.53	3.4× median	Above Median
16	1619259264	$2K	$11.60	0.3× median	Below Median
17	1538642996	$2K	$9.15	0.2× median	Below Median
18	1275647752	$1K	$104.21	2.8× median	Above Median
19	1851341002	$1K	$78.75	2.1× median	Above Median
20	1093475220	$1K	$36.78	1.0× median	Above Median

Showing top 20 of 52 providers billing this code

Related Procedures

99392Preventive medicine, established patient, age 1-4$2.73B 99391Preventive medicine, established patient, infant (under 1)$2.47B 99393Preventive medicine, established patient, age 5-11$1.99B 99394Preventive medicine, established patient, age 12-17$1.24B 99395Preventive medicine, established patient, age 18-39$469.4M

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