#2904 of 11K

99412

HCPCS Procedure Code

HCPCS code 99412 is the #2,904 most-billed Medicaid procedure code, with $3.1M in payments across 83K claims from 2018–2024. The national median cost per claim is $34.41. Costs vary widely — the 90th percentile is $99.21 per claim, 2.9× the median.

Total Paid

$3.1M

0.00% of all spending

Total Claims

83K

Providers

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 99412? Based on 43 providers billing this code nationally.

Median

$34.41

Average

$58.48

Std Dev

$106.94

Max

$701.34

Percentile Distribution (Cost per Claim)

p10

$7.84

p25

$17.76

Median

$34.41

p75

$60.76

p90

$99.21

p95

$141.15

p99

$467.21

50% of providers bill between $17.76 and $60.76 per claim for this code.

90% bill between $7.84 and $99.21.

Top 1% bill above $467.21.

About This Procedure

HCPCS code 99412 was billed by 57 providers across 83K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.41

Providers Billing

National Spending

$3.1M

Avg/Median Ratio

1.70×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99412

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Joint School District No. 2 Meridian, ID · Local Education Agency (LEA)	$620K	$29.17	0.8× median	Below Median
2	1831227263	$428K	$38.16	1.1× median	Above Median
3	1194885723	$425K	$47.19	1.4× median	Above Median
4	Central Oklahoma American Indian Health Council Inc. Oklahoma City, OK · Clinic/Center Federally Qualified Health Center (FQHC)	$351K	$701.34	20.4× median	Top 1%
5	1427194521	$254K	$21.26	0.6× median	Below Median
6	Vallivue School District #139 Caldwell, ID · Local Education Agency (LEA)	$225K	$36.02	1.0× median	Above Median
7	1992294193	$214K	$65.79	1.9× median	Above 75th
8	1518088178	$181K	$56.07	1.6× median	Above Median
9	1447304142	$67K	$22.97	0.7× median	Below Median
10	1114135035	$49K	$41.40	1.2× median	Above Median
11	1114002573	$44K	$67.66	2.0× median	Above 75th
12	1477674539	$25K	$139.77	4.1× median	Top 10%
13	1013056480	$23K	$25.77	0.7× median	Below Median
14	1053696195	$16K	$141.31	4.1× median	Top 10%
15	1275783870	$16K	$19.33	0.6× median	Below Median
16	Nys Office Of Mental Health West Brentwood, NY · Clinic/Center Adult Mental Health	$15K	$99.21	2.9× median	Top 10%
17	1902055643	$14K	$18.22	0.5× median	Below Median
18	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$12K	$34.41	1.0× median	Below Median
19	The Miriam Hospital Providence, RI · General Acute Care Hospital	$12K	$34.51	1.0× median	Above Median
20	1023024882	$10K	$11.81	0.3× median	Below Median

Showing top 20 of 57 providers billing this code

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