99452
HCPCS Procedure Code
HCPCS code 99452 is the #5,326 most-billed Medicaid procedure code, with $228K in payments across 37K claims from 2018–2024. The national median cost per claim is $5.44. Costs vary widely — the 90th percentile is $18.69 per claim, 3.4× the median.
Total Paid
$228K
0.00% of all spending
Total Claims
37K
Providers
34
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 99452? Based on 27 providers billing this code nationally.
Median
$5.44
Average
$9.57
Std Dev
$10.49
Max
$48.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.80 and $15.94 per claim for this code.
90% bill between $0.78 and $18.69.
Top 1% bill above $41.81.
About This Procedure
HCPCS code 99452 was billed by 34 providers across 37K claims, totaling $228K in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.44
Providers Billing
27
National Spending
$228K
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99452
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548765258 | $89K |
| 2 | 1932560729 | $80K |
| 3 | 1841680766 | $19K |
| 4 | 1093220006 | $15K |
| 5 | 1114371580 | $6K |
| 6 | 1831864289 | $5K |
| 7 | 1568809598 | $3K |
| 8 | 1861412686 | $2K |
| 9 | 1639369531 | $1K |
| 10 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1K |
| 11 | 1669827119 | $1K |
| 12 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $638 |
| 13 | 1992317085 | $572 |
| 14 | 1669910345 | $569 |
| 15 | 1790881746 | $507 |
| 16 | 1780062489 | $353 |
| 17 | 1669402848 | $229 |
| 18 | 1700486768 | $186 |
| 19 | 1154727147 | $185 |
| 20 | 1205466265 | $142 |
Showing top 20 of 34 providers billing this code