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#3621 of 11K

99437

HCPCS Procedure Code

HCPCS code 99437 is the #3,621 most-billed Medicaid procedure code, with $1.4M in payments across 34K claims from 2018–2024. The national median cost per claim is $8.33. Costs vary widely — the 90th percentile is $69.24 per claim, 8.3× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

34K

Providers

60

Avg Cost/Claim

$42

National Cost Distribution

How much do providers bill per claim for 99437? Based on 50 providers billing this code nationally.

Median

$8.33

Average

$24.82

Std Dev

$29.39

Max

$80.00

Percentile Distribution (Cost per Claim)

p10
$0.19
p25
$0.41
Median
$8.33
p75
$57.22
p90
$69.24
p95
$69.95
p99
$79.05

50% of providers bill between $0.41 and $57.22 per claim for this code.

90% bill between $0.19 and $69.24.

Top 1% bill above $79.05.

About This Procedure

HCPCS code 99437 was billed by 60 providers across 34K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.33

Providers Billing

50

National Spending

$1.4M

Avg/Median Ratio

2.98×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99437

#ProviderTotal Paid
11811449697$256K
21588244750$253K
31366544710$154K
41245859388$148K
51457392862$128K
61033704630$108K
71790344869$85K
81710927306$71K
9Central Boston Elder Services, Inc.

Roxbury, MA · Case Management

$69K
101184984809$49K
111023125069$38K
121932708492$31K
131407483175$10K
141760627772$2K
151144973124$2K
161922127935$2K
171154421246$2K
181417021114$1K
191871955807$1K
201770292880$1K

Showing top 20 of 60 providers billing this code