99391
Preventive medicine, established patient, infant (under 1)
Preventive medicine, established patient, infant (under 1) is the #79 most-billed Medicaid procedure code, with $2.47B in payments across 37.1M claims from 2018–2024. The national median cost per claim is $69.35.
Total Paid
$2.47B
0.23% of all spending
Total Claims
37.1M
Providers
18K
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 99391? Based on 17K providers billing this code nationally.
Median
$69.35
Average
$69.13
Std Dev
$38.27
Max
$806.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $52.21 and $84.26 per claim for this code.
90% bill between $23.58 and $99.51.
Top 1% bill above $197.91.
About This Procedure
HCPCS code 99391 (Preventive medicine, established patient, infant (under 1)) was billed by 18K providers across 37.1M claims, totaling $2.47B in Medicaid payments from 2018–2024. This code was used for 33.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$69.35
Providers Billing
17K
National Spending
$2.47B
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99391
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $28.9M |
| 2 | Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics | $25.8M |
| 3 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $23.6M |
| 4 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $9.9M |
| 5 | Legacy Community Health Services, Inc Houston, TX · Pediatrics | $9.1M |
| 6 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $8.6M |
| 7 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $7.2M |
| 8 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $7.0M |
| 9 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $6.9M |
| 10 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $6.8M |
| 11 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $6.8M |
| 12 | 1326695255 | $6.7M |
| 13 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $6.5M |
| 14 | 1346249430 | $6.5M |
| 15 | Baltimore Medical System Inc Baltimore, MD · Clinic/Center Federally Qualified Health Center (FQHC) | $6.3M |
| 16 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $6.2M |
| 17 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $5.4M |
| 18 | Prisma Health University Medical Group Greenville, SC · Internal Medicine | $5.4M |
| 19 | 1144268277 | $5.2M |
| 20 | 1184016941 | $5.1M |
Showing top 20 of 18K providers billing this code