99418
HCPCS Procedure Code
HCPCS code 99418 is the #3,426 most-billed Medicaid procedure code, with $1.7M in payments across 45K claims from 2018–2024. The national median cost per claim is $38.93.
Total Paid
$1.7M
0.00% of all spending
Total Claims
45K
Providers
161
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for 99418? Based on 151 providers billing this code nationally.
Median
$38.93
Average
$43.31
Std Dev
$36.15
Max
$308.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.68 and $54.02 per claim for this code.
90% bill between $11.87 and $72.59.
Top 1% bill above $178.86.
About This Procedure
HCPCS code 99418 was billed by 161 providers across 45K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.93
Providers Billing
151
National Spending
$1.7M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99418
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1356745152 | $138K |
| 2 | 1508968413 | $119K |
| 3 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $118K |
| 4 | 1811920549 | $105K |
| 5 | 1104900455 | $75K |
| 6 | 1295178689 | $45K |
| 7 | 1407987498 | $44K |
| 8 | The Metrohealth System Cleveland, OH · Anesthesiology | $44K |
| 9 | 1952550097 | $43K |
| 10 | 1609853688 | $41K |
| 11 | 1376614016 | $41K |
| 12 | 1386739332 | $40K |
| 13 | 1497116347 | $38K |
| 14 | 1790815082 | $37K |
| 15 | 1558407189 | $34K |
| 16 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $31K |
| 17 | 1487018040 | $28K |
| 18 | 1811073901 | $27K |
| 19 | 1760577712 | $26K |
| 20 | 1891702833 | $25K |
Showing top 20 of 161 providers billing this code