99393
Preventive medicine, established patient, age 5-11
Preventive medicine, established patient, age 5-11 is the #99 most-billed Medicaid procedure code, with $1.99B in payments across 31.4M claims from 2018–2024. The national median cost per claim is $74.82.
Total Paid
$1.99B
0.18% of all spending
Total Claims
31.4M
Providers
22K
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for 99393? Based on 20K providers billing this code nationally.
Median
$74.82
Average
$71.90
Std Dev
$44.23
Max
$719.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.29 and $88.16 per claim for this code.
90% bill between $14.68 and $104.65.
Top 1% bill above $206.45.
About This Procedure
HCPCS code 99393 (Preventive medicine, established patient, age 5-11) was billed by 22K providers across 31.4M claims, totaling $1.99B in Medicaid payments from 2018–2024. This code was used for 29.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$74.82
Providers Billing
20K
National Spending
$1.99B
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99393
| # | Provider | Total Paid |
|---|---|---|
| 1 | Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics | $20.9M |
| 2 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $17.4M |
| 3 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $16.6M |
| 4 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $15.3M |
| 5 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $5.9M |
| 6 | 1790839405 | $5.5M |
| 7 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $5.4M |
| 8 | Montefiore Medical Center Bronx, NY · Anesthesiology | $5.4M |
| 9 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $5.0M |
| 10 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $4.9M |
| 11 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $4.8M |
| 12 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $4.6M |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $4.6M |
| 14 | 1346249430 | $4.5M |
| 15 | Baltimore Medical System Inc Baltimore, MD · Clinic/Center Federally Qualified Health Center (FQHC) | $4.5M |
| 16 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $4.2M |
| 17 | 1144268277 | $4.1M |
| 18 | Sun River Health Inc. Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC) | $4.0M |
| 19 | El Centro Del Barrio, Inc. San Antonio, TX · Clinic/Center, Federally Qualified Health Center (FQHC) | $3.9M |
| 20 | Our Lady Of The Lake Physician Group Llc Baton Rouge, LA · Allergy & Immunology | $3.6M |
Showing top 20 of 22K providers billing this code