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#5326 of 11K

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)

p10
$0.78
p25
$1.80
Median
$5.44
p75
$15.94
p90
$18.69
p95
$21.22
p99
$41.81

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

#ProviderTotal Paid
11548765258$89K
21932560729$80K
31841680766$19K
41093220006$15K
51114371580$6K
61831864289$5K
71568809598$3K
81861412686$2K
91639369531$1K
10Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$1K
111669827119$1K
12Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$638
131992317085$572
141669910345$569
151790881746$507
161780062489$353
171669402848$229
181700486768$186
191154727147$185
201205466265$142

Showing top 20 of 34 providers billing this code