99478
HCPCS Procedure Code
HCPCS code 99478 is the #3,086 most-billed Medicaid procedure code, with $2.5M in payments across 22K claims from 2018–2024. The national median cost per claim is $106.11.
Total Paid
$2.5M
0.00% of all spending
Total Claims
22K
Providers
55
Avg Cost/Claim
$117
National Cost Distribution
How much do providers bill per claim for 99478? Based on 55 providers billing this code nationally.
Median
$106.11
Average
$108.80
Std Dev
$36.92
Max
$218.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $86.38 and $126.39 per claim for this code.
90% bill between $75.98 and $150.73.
Top 1% bill above $204.59.
About This Procedure
HCPCS code 99478 was billed by 55 providers across 22K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 4,513 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$106.11
Providers Billing
55
National Spending
$2.5M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99478
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619987302 | $812K |
| 2 | Neo Natal Associates Plc Grand Rapids, MI · Pediatrics Neonatal-Perinatal Medicine | $287K |
| 3 | 1003990318 | $168K |
| 4 | 1336218726 | $131K |
| 5 | 1457389033 | $103K |
| 6 | 1376831636 | $99K |
| 7 | 1811920549 | $87K |
| 8 | 1780676650 | $86K |
| 9 | 1700072964 | $80K |
| 10 | 1922193911 | $69K |
| 11 | 1245898683 | $54K |
| 12 | 1114387206 | $52K |
| 13 | 1003829441 | $43K |
| 14 | 1609915784 | $37K |
| 15 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $36K |
| 16 | 1962522771 | $33K |
| 17 | 1063964708 | $33K |
| 18 | 1346284684 | $21K |
| 19 | 1902949803 | $18K |
| 20 | 1780848580 | $18K |
Showing top 20 of 55 providers billing this code