99461
HCPCS Procedure Code
HCPCS code 99461 is the #4,530 most-billed Medicaid procedure code, with $529K in payments across 7,740 claims from 2018–2024. The national median cost per claim is $74.20.
Total Paid
$529K
0.00% of all spending
Total Claims
7,740
Providers
50
Avg Cost/Claim
$68
National Cost Distribution
How much do providers bill per claim for 99461? Based on 46 providers billing this code nationally.
Median
$74.20
Average
$70.73
Std Dev
$23.21
Max
$137.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.80 and $84.50 per claim for this code.
90% bill between $41.05 and $92.20.
Top 1% bill above $120.23.
About This Procedure
HCPCS code 99461 was billed by 50 providers across 7,740 claims, totaling $529K in Medicaid payments from 2018–2024. This code was used for 7,268 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$74.20
Providers Billing
46
National Spending
$529K
Avg/Median Ratio
0.95×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99461
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093060238 | $80K |
| 2 | 1376508788 | $67K |
| 3 | 1790098416 | $65K |
| 4 | 1538304134 | $54K |
| 5 | 1538597349 | $41K |
| 6 | 1790878569 | $36K |
| 7 | 1851613939 | $33K |
| 8 | 1457364994 | $22K |
| 9 | 1972529808 | $20K |
| 10 | 1770880924 | $13K |
| 11 | 1164506358 | $11K |
| 12 | 1134286131 | $7K |
| 13 | 1437216645 | $7K |
| 14 | 1104903749 | $6K |
| 15 | 1982871729 | $6K |
| 16 | 1720461882 | $5K |
| 17 | 1033783451 | $5K |
| 18 | 1164629267 | $4K |
| 19 | 1740711449 | $4K |
| 20 | 1861869117 | $3K |
Showing top 20 of 50 providers billing this code