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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902271661 | $734K |
| 2 | 1518417179 | $591K |
| 3 | 1104096015 | $351K |
| 4 | 1811544174 | $295K |
| 5 | 1033322334 | $193K |
| 6 | 1033353941 | $139K |
| 7 | 1477151660 | $134K |
| 8 | 1760594451 | $113K |
| 9 | 1538487608 | $109K |
| 10 | 1326282088 | $109K |
| 11 | 1427233923 | $105K |
| 12 | 1821454505 | $87K |
| 13 | 1598105793 | $76K |
| 14 | 1518930270 | $71K |
| 15 | 1760626477 | $61K |
| 16 | 1811527138 | $61K |
| 17 | 1962416842 | $61K |
| 18 | 1750613329 | $56K |
| 19 | 1881861953 | $51K |
| 20 | 1700269412 | $47K |
Showing top 20 of 1,035 providers billing this code