99469
Subsequent intensive care, very low birth weight infant
Subsequent intensive care, very low birth weight infant is the #238 most-billed Medicaid procedure code, with $613.0M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $293.45.
Total Paid
$613.0M
0.06% of all spending
Total Claims
1.9M
Providers
636
Avg Cost/Claim
$328
National Cost Distribution
How much do providers bill per claim for 99469? Based on 635 providers billing this code nationally.
Median
$293.45
Average
$319.84
Std Dev
$191.92
Max
$3,245.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $246.63 and $360.06 per claim for this code.
90% bill between $196.29 and $439.35.
Top 1% bill above $634.60.
About This Procedure
HCPCS code 99469 (Subsequent intensive care, very low birth weight infant) was billed by 636 providers across 1.9M claims, totaling $613.0M in Medicaid payments from 2018–2024. This code was used for 540K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$293.45
Providers Billing
635
National Spending
$613.0M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99469
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649377359 | $23.9M |
| 2 | 1992802607 | $20.0M |
| 3 | 1619987302 | $17.0M |
| 4 | Not Found Unknown, Unknown · Unknown | $16.3M |
| 5 | 1659485761 | $13.2M |
| 6 | Magella Medical Associates Billing, Inc. Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine | $12.8M |
| 7 | 1609958446 | $10.7M |
| 8 | 1457396541 | $10.0M |
| 9 | 1245898683 | $9.7M |
| 10 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $9.6M |
| 11 | 1326091448 | $9.2M |
| 12 | 1720185432 | $9.1M |
| 13 | 1982678496 | $8.8M |
| 14 | 1376831636 | $8.4M |
| 15 | 1972695260 | $8.2M |
| 16 | 1750351375 | $7.9M |
| 17 | 1497852107 | $7.8M |
| 18 | 1780781492 | $7.6M |
| 19 | 1558468256 | $7.5M |
| 20 | 1427031541 | $7.4M |
Showing top 20 of 636 providers billing this code