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#3543 of 11K

99411

HCPCS Procedure Code

HCPCS code 99411 is the #3,543 most-billed Medicaid procedure code, with $1.5M in payments across 153K claims from 2018–2024. The national median cost per claim is $9.35.

Total Paid

$1.5M

0.00% of all spending

Total Claims

153K

Providers

142

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 99411? Based on 81 providers billing this code nationally.

Median

$9.35

Average

$26.93

Std Dev

$91.63

Max

$659.75

Percentile Distribution (Cost per Claim)

p10
$1.99
p25
$7.05
Median
$9.35
p75
$10.46
p90
$17.76
p95
$41.56
p99
$450.45

50% of providers bill between $7.05 and $10.46 per claim for this code.

90% bill between $1.99 and $17.76.

Top 1% bill above $450.45.

About This Procedure

HCPCS code 99411 was billed by 142 providers across 153K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 93K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.35

Providers Billing

81

National Spending

$1.5M

Avg/Median Ratio

2.88×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99411

#ProviderTotal Paid
11578565347$478K
21811094196$106K
3Central Oklahoma American Indian Health Council Inc.

Oklahoma City, OK · Clinic/Center Federally Qualified Health Center (FQHC)

$102K
41457371668$93K
51659478923$92K
61093735540$67K
71598785818$51K
81275783870$49K
91720124647$45K
101164920963$45K
111174543607$43K
121972523736$39K
131427110204$36K
141750614434$29K
151225362106$28K
161831697267$26K
17Nys Office Of Mental Health

West Brentwood, NY · Clinic/Center Adult Mental Health

$25K
181952635880$21K
191194761619$16K
201588993943$16K

Showing top 20 of 142 providers billing this code