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#2857 of 11K

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)

p10
$3.76
p25
$9.31
Median
$13.55
p75
$16.15
p90
$20.26
p95
$23.29
p99
$29.46

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

#ProviderTotal Paid
11679534069$233K
21598906166$173K
31699365072$117K
4North Shore-lij Medical Pc

Great Neck, NY · Urology

$109K
5Montefiore Medical Center

Bronx, NY · Anesthesiology

$67K
6Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$64K
71013042480$63K
81639137979$60K
91477276699$60K
101639189863$47K
111932640760$43K
121003811381$43K
131992994214$36K
141801826680$33K
151013105279$33K
161831199215$30K
171134174360$30K
181952705410$30K
191801136734$28K
201053417196$28K

Showing top 20 of 930 providers billing this code