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#2334 of 11K

99458

HCPCS Procedure Code

HCPCS code 99458 is the #2,334 most-billed Medicaid procedure code, with $6.6M in payments across 544K claims from 2018–2024. The national median cost per claim is $6.87. Costs vary widely — the 90th percentile is $30.53 per claim, 4.4× the median.

Total Paid

$6.6M

0.00% of all spending

Total Claims

544K

Providers

1,035

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 99458? Based on 903 providers billing this code nationally.

Median

$6.87

Average

$12.10

Std Dev

$14.50

Max

$97.48

Percentile Distribution (Cost per Claim)

p10
$0.80
p25
$2.43
Median
$6.87
p75
$16.07
p90
$30.53
p95
$41.83
p99
$65.36

50% of providers bill between $2.43 and $16.07 per claim for this code.

90% bill between $0.80 and $30.53.

Top 1% bill above $65.36.

About This Procedure

HCPCS code 99458 was billed by 1,035 providers across 544K claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 489K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.87

Providers Billing

903

National Spending

$6.6M

Avg/Median Ratio

1.76×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99458

#ProviderTotal Paid
11902271661$734K
21518417179$591K
31104096015$351K
41811544174$295K
51033322334$193K
61033353941$139K
71477151660$134K
81760594451$113K
91538487608$109K
101326282088$109K
111427233923$105K
121821454505$87K
131598105793$76K
141518930270$71K
151760626477$61K
161811527138$61K
171962416842$61K
181750613329$56K
191881861953$51K
201700269412$47K

Showing top 20 of 1,035 providers billing this code