99471
HCPCS Procedure Code
HCPCS code 99471 is the #1,991 most-billed Medicaid procedure code, with $10.4M in payments across 16K claims from 2018–2024. The national median cost per claim is $680.99.
Total Paid
$10.4M
0.00% of all spending
Total Claims
16K
Providers
99
Avg Cost/Claim
$667
National Cost Distribution
How much do providers bill per claim for 99471? Based on 99 providers billing this code nationally.
Median
$680.99
Average
$677.26
Std Dev
$230.84
Max
$1,414.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $536.37 and $780.58 per claim for this code.
90% bill between $425.77 and $909.10.
Top 1% bill above $1,312.68.
About This Procedure
HCPCS code 99471 was billed by 99 providers across 16K claims, totaling $10.4M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$680.99
Providers Billing
99
National Spending
$10.4M
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99471
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811920549 | $2.1M |
| 2 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $1.8M |
| 3 | 1801869250 | $1.2M |
| 4 | 1922181718 | $571K |
| 5 | 1629001169 | $468K |
| 6 | 1023237518 | $342K |
| 7 | 1619412376 | $290K |
| 8 | 1740204114 | $207K |
| 9 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $203K |
| 10 | 1215112131 | $186K |
| 11 | 1912965088 | $175K |
| 12 | 1780800128 | $153K |
| 13 | 1891156741 | $153K |
| 14 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $110K |
| 15 | 1457396541 | $102K |
| 16 | 1437137064 | $100K |
| 17 | 1336482256 | $96K |
| 18 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $95K |
| 19 | 1841573870 | $95K |
| 20 | 1669454617 | $92K |
Showing top 20 of 99 providers billing this code