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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811449697 | $256K |
| 2 | 1588244750 | $253K |
| 3 | 1366544710 | $154K |
| 4 | 1245859388 | $148K |
| 5 | 1457392862 | $128K |
| 6 | 1033704630 | $108K |
| 7 | 1790344869 | $85K |
| 8 | 1710927306 | $71K |
| 9 | Central Boston Elder Services, Inc. Roxbury, MA · Case Management | $69K |
| 10 | 1184984809 | $49K |
| 11 | 1023125069 | $38K |
| 12 | 1932708492 | $31K |
| 13 | 1407483175 | $10K |
| 14 | 1760627772 | $2K |
| 15 | 1144973124 | $2K |
| 16 | 1922127935 | $2K |
| 17 | 1154421246 | $2K |
| 18 | 1417021114 | $1K |
| 19 | 1871955807 | $1K |
| 20 | 1770292880 | $1K |
Showing top 20 of 60 providers billing this code