99395
Preventive medicine, established patient, age 18-39
Preventive medicine, established patient, age 18-39 is the #297 most-billed Medicaid procedure code, with $469.4M in payments across 7.5M claims from 2018–2024. The national median cost per claim is $72.71.
Total Paid
$469.4M
0.04% of all spending
Total Claims
7.5M
Providers
13K
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for 99395? Based on 11K providers billing this code nationally.
Median
$72.71
Average
$70.08
Std Dev
$40.29
Max
$493.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $47.26 and $90.67 per claim for this code.
90% bill between $10.33 and $114.97.
Top 1% bill above $187.05.
About This Procedure
HCPCS code 99395 (Preventive medicine, established patient, age 18-39) was billed by 13K providers across 7.5M claims, totaling $469.4M in Medicaid payments from 2018–2024. This code was used for 6.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.71
Providers Billing
11K
National Spending
$469.4M
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99395
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $4.5M |
| 2 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $3.7M |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2.9M |
| 4 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $2.6M |
| 5 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $2.5M |
| 6 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $2.4M |
| 7 | 1053489260 | $2.2M |
| 8 | Jamaica Hospital Richmond Hill, NY · General Acute Care Hospital | $2.1M |
| 9 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $1.9M |
| 10 | 1003829441 | $1.8M |
| 11 | 1154354744 | $1.8M |
| 12 | 1477708469 | $1.8M |
| 13 | 1801826680 | $1.7M |
| 14 | 1417959701 | $1.7M |
| 15 | 1205074739 | $1.6M |
| 16 | Chinatown True Care Medical Pllc New York, NY · Family Medicine | $1.6M |
| 17 | 1144203498 | $1.6M |
| 18 | 1760043723 | $1.5M |
| 19 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $1.5M |
| 20 | Geisinger Clinic Danville, PA · Surgery | $1.5M |
Showing top 20 of 13K providers billing this code