99402
HCPCS Procedure Code
HCPCS code 99402 is the #729 most-billed Medicaid procedure code, with $94.5M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $31.79. Costs vary widely — the 90th percentile is $79.58 per claim, 2.5× the median.
Total Paid
$94.5M
0.01% of all spending
Total Claims
1.8M
Providers
1K
Avg Cost/Claim
$53
National Cost Distribution
How much do providers bill per claim for 99402? Based on 1K providers billing this code nationally.
Median
$31.79
Average
$37.41
Std Dev
$28.81
Max
$294.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.79 and $50.74 per claim for this code.
90% bill between $6.58 and $79.58.
Top 1% bill above $121.10.
About This Procedure
HCPCS code 99402 was billed by 1K providers across 1.8M claims, totaling $94.5M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.79
Providers Billing
1K
National Spending
$94.5M
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99402
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265441877 | $3.5M |
| 2 | 1194855155 | $3.1M |
| 3 | 1114264660 | $2.9M |
| 4 | 1477802742 | $2.9M |
| 5 | 1336369099 | $2.8M |
| 6 | 1184057234 | $2.7M |
| 7 | 1932116191 | $2.2M |
| 8 | 1891853479 | $2.2M |
| 9 | 1407392301 | $2.0M |
| 10 | 1467873869 | $2.0M |
| 11 | 1295082147 | $1.9M |
| 12 | 1558459164 | $1.6M |
| 13 | 1073995601 | $1.6M |
| 14 | 1245283977 | $1.5M |
| 15 | 1609913490 | $1.4M |
| 16 | 1255331583 | $1.4M |
| 17 | 1710097977 | $1.3M |
| 18 | 1548606221 | $1.1M |
| 19 | 1134670086 | $1.1M |
| 20 | 1700278793 | $1.1M |
Showing top 20 of 1K providers billing this code