99392
Preventive medicine, established patient, age 1-4
Preventive medicine, established patient, age 1-4 is the #72 most-billed Medicaid procedure code, with $2.73B in payments across 41.4M claims from 2018–2024. The national median cost per claim is $75.18.
Total Paid
$2.73B
0.25% of all spending
Total Claims
41.4M
Providers
20K
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for 99392? Based on 19K providers billing this code nationally.
Median
$75.18
Average
$72.04
Std Dev
$43.10
Max
$710.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.29 and $88.81 per claim for this code.
90% bill between $15.74 and $105.33.
Top 1% bill above $206.70.
About This Procedure
HCPCS code 99392 (Preventive medicine, established patient, age 1-4) was billed by 20K providers across 41.4M claims, totaling $2.73B in Medicaid payments from 2018–2024. This code was used for 38.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$75.18
Providers Billing
19K
National Spending
$2.73B
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99392
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $30.2M |
| 2 | Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics | $29.8M |
| 3 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $23.9M |
| 4 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $13.8M |
| 5 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $10.1M |
| 6 | 1326695255 | $7.7M |
| 7 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $7.4M |
| 8 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $6.7M |
| 9 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $6.4M |
| 10 | Baltimore Medical System Inc Baltimore, MD · Clinic/Center Federally Qualified Health Center (FQHC) | $6.2M |
| 11 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $6.1M |
| 12 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $6.1M |
| 13 | 1841328853 | $6.1M |
| 14 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $6.0M |
| 15 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $5.9M |
| 16 | 1184016941 | $5.8M |
| 17 | Montefiore Medical Center Bronx, NY · Anesthesiology | $5.8M |
| 18 | 1144268277 | $5.8M |
| 19 | 1346249430 | $5.4M |
| 20 | 1750443503 | $5.2M |
Showing top 20 of 20K providers billing this code