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#563 of 11K

99443

Telephone E/M by physician, 21-30 min

Telephone E/M by physician, 21-30 min is the #563 most-billed Medicaid procedure code, with $145.6M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $32.55. Costs vary widely — the 90th percentile is $95.27 per claim, 2.9× the median.

Total Paid

$145.6M

0.01% of all spending

Total Claims

2.6M

Providers

6K

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 99443? Based on 5K providers billing this code nationally.

Median

$32.55

Average

$49.26

Std Dev

$72.52

Max

$915.47

Percentile Distribution (Cost per Claim)

p10
$5.37
p25
$14.77
Median
$32.55
p75
$61.30
p90
$95.27
p95
$118.79
p99
$494.32

50% of providers bill between $14.77 and $61.30 per claim for this code.

90% bill between $5.37 and $95.27.

Top 1% bill above $494.32.

About This Procedure

HCPCS code 99443 (Telephone E/M by physician, 21-30 min) was billed by 6K providers across 2.6M claims, totaling $145.6M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.55

Providers Billing

5K

National Spending

$145.6M

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99443

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$20.6M
21366475998$3.0M
3Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$2.7M
41366418709$2.0M
5City & County Of San Francisco

San Francisco, CA · Community/Behavioral Health

$2.0M
6New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$1.8M
7Tanana Chiefs Conference

Fairbanks, AK · Clinic/Center Multi-Specialty

$1.7M
81447283072$1.7M
91992738520$1.7M
101417977877$1.5M
11Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$1.5M
12County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$1.5M
13County Of Solano

Fairfield, CA · Public Health or Welfare

$1.3M
141861425282$1.2M
151720634538$1.1M
16New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$1.1M
17Montefiore Medical Center

Bronx, NY · Anesthesiology

$1.1M
181649203068$1.0M
19Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$996K
201497796353$928K

Showing top 20 of 6K providers billing this code