99407
HCPCS Procedure Code
HCPCS code 99407 is the #2,092 most-billed Medicaid procedure code, with $9.2M in payments across 632K claims from 2018–2024. The national median cost per claim is $13.29.
Total Paid
$9.2M
0.00% of all spending
Total Claims
632K
Providers
1K
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 99407? Based on 1K providers billing this code nationally.
Median
$13.29
Average
$14.63
Std Dev
$14.63
Max
$270.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.84 and $18.79 per claim for this code.
90% bill between $2.49 and $24.52.
Top 1% bill above $50.98.
About This Procedure
HCPCS code 99407 was billed by 1K providers across 632K claims, totaling $9.2M in Medicaid payments from 2018–2024. This code was used for 506K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.29
Providers Billing
1K
National Spending
$9.2M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99407
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669708756 | $999K |
| 2 | 1982764908 | $317K |
| 3 | 1225685332 | $264K |
| 4 | 1396284428 | $258K |
| 5 | 1295874436 | $208K |
| 6 | 1407830946 | $166K |
| 7 | 1811405616 | $150K |
| 8 | 1902147713 | $137K |
| 9 | 1174901128 | $124K |
| 10 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $116K |
| 11 | 1740451566 | $96K |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $93K |
| 13 | 1487816419 | $85K |
| 14 | 1912954124 | $83K |
| 15 | 1174665251 | $80K |
| 16 | 1225622889 | $76K |
| 17 | 1871047795 | $75K |
| 18 | 1932708492 | $73K |
| 19 | 1174052351 | $73K |
| 20 | 1093328890 | $68K |
Showing top 20 of 1K providers billing this code