99406
HCPCS Procedure Code
HCPCS code 99406 is the #1,156 most-billed Medicaid procedure code, with $36.4M in payments across 5.0M claims from 2018–2024. The national median cost per claim is $6.53. Costs vary widely — the 90th percentile is $13.17 per claim, 2.0× the median.
Total Paid
$36.4M
0.00% of all spending
Total Claims
5.0M
Providers
7K
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 99406? Based on 6K providers billing this code nationally.
Median
$6.53
Average
$7.79
Std Dev
$10.82
Max
$453.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.58 and $9.40 per claim for this code.
90% bill between $0.94 and $13.17.
Top 1% bill above $43.97.
About This Procedure
HCPCS code 99406 was billed by 7K providers across 5.0M claims, totaling $36.4M in Medicaid payments from 2018–2024. This code was used for 4.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.53
Providers Billing
6K
National Spending
$36.4M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99406
| # | Provider | Total Paid |
|---|---|---|
| 1 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $3.8M |
| 2 | Marillac Clinic Inc. Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC) | $1.2M |
| 3 | 1124648316 | $464K |
| 4 | 1982764908 | $453K |
| 5 | 1700251626 | $434K |
| 6 | 1306961636 | $314K |
| 7 | 1811405616 | $272K |
| 8 | 1730377342 | $244K |
| 9 | 1740535368 | $237K |
| 10 | 1285013896 | $227K |
| 11 | 1568994259 | $218K |
| 12 | 1013937549 | $211K |
| 13 | 1457729741 | $205K |
| 14 | 1093718728 | $198K |
| 15 | 1811226749 | $195K |
| 16 | 1720631708 | $191K |
| 17 | 1184935553 | $186K |
| 18 | 1396749941 | $185K |
| 19 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $178K |
| 20 | 1952404188 | $165K |
Showing top 20 of 7K providers billing this code