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#2092 of 11K

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)

p10
$2.49
p25
$6.84
Median
$13.29
p75
$18.79
p90
$24.52
p95
$32.30
p99
$50.98

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

#ProviderTotal Paid
11669708756$999K
21982764908$317K
31225685332$264K
41396284428$258K
51295874436$208K
61407830946$166K
71811405616$150K
81902147713$137K
91174901128$124K
10Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$116K
111740451566$96K
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$93K
131487816419$85K
141912954124$83K
151174665251$80K
161225622889$76K
171871047795$75K
181932708492$73K
191174052351$73K
201093328890$68K

Showing top 20 of 1K providers billing this code