99459
HCPCS Procedure Code
HCPCS code 99459 is the #2,857 most-billed Medicaid procedure code, with $3.3M in payments across 243K claims from 2018–2024. The national median cost per claim is $13.55.
Total Paid
$3.3M
0.00% of all spending
Total Claims
243K
Providers
930
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 99459? Based on 822 providers billing this code nationally.
Median
$13.55
Average
$12.92
Std Dev
$6.49
Max
$64.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.31 and $16.15 per claim for this code.
90% bill between $3.76 and $20.26.
Top 1% bill above $29.46.
About This Procedure
HCPCS code 99459 was billed by 930 providers across 243K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 222K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.55
Providers Billing
822
National Spending
$3.3M
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99459
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679534069 | $233K |
| 2 | 1598906166 | $173K |
| 3 | 1699365072 | $117K |
| 4 | North Shore-lij Medical Pc Great Neck, NY · Urology | $109K |
| 5 | Montefiore Medical Center Bronx, NY · Anesthesiology | $67K |
| 6 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $64K |
| 7 | 1013042480 | $63K |
| 8 | 1639137979 | $60K |
| 9 | 1477276699 | $60K |
| 10 | 1639189863 | $47K |
| 11 | 1932640760 | $43K |
| 12 | 1003811381 | $43K |
| 13 | 1992994214 | $36K |
| 14 | 1801826680 | $33K |
| 15 | 1013105279 | $33K |
| 16 | 1831199215 | $30K |
| 17 | 1134174360 | $30K |
| 18 | 1952705410 | $30K |
| 19 | 1801136734 | $28K |
| 20 | 1053417196 | $28K |
Showing top 20 of 930 providers billing this code