99464
HCPCS Procedure Code
HCPCS code 99464 is the #1,342 most-billed Medicaid procedure code, with $26.6M in payments across 430K claims from 2018–2024. The national median cost per claim is $59.94.
Total Paid
$26.6M
0.00% of all spending
Total Claims
430K
Providers
598
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for 99464? Based on 594 providers billing this code nationally.
Median
$59.94
Average
$60.70
Std Dev
$19.31
Max
$217.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.69 and $75.26 per claim for this code.
90% bill between $40.27 and $83.70.
Top 1% bill above $97.49.
About This Procedure
HCPCS code 99464 was billed by 598 providers across 430K claims, totaling $26.6M in Medicaid payments from 2018–2024. This code was used for 406K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.94
Providers Billing
594
National Spending
$26.6M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99464
| # | Provider | Total Paid |
|---|---|---|
| 1 | Not Found Unknown, Unknown · Unknown | $1.5M |
| 2 | 1649377359 | $1.0M |
| 3 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $815K |
| 4 | 1508014895 | $787K |
| 5 | 1700072964 | $591K |
| 6 | 1063964708 | $544K |
| 7 | 1619057148 | $530K |
| 8 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $473K |
| 9 | 1477569838 | $456K |
| 10 | 1609958446 | $446K |
| 11 | 1720185432 | $436K |
| 12 | 1801804299 | $430K |
| 13 | 1083711790 | $425K |
| 14 | 1518916121 | $412K |
| 15 | 1366408379 | $396K |
| 16 | 1841466612 | $373K |
| 17 | 1407957152 | $338K |
| 18 | 1659485761 | $327K |
| 19 | 1104900455 | $308K |
| 20 | 1376782060 | $301K |
Showing top 20 of 598 providers billing this code