#3333 of 11K

99489

HCPCS Procedure Code

HCPCS code 99489 is the #3,333 most-billed Medicaid procedure code, with $1.9M in payments across 168K claims from 2018–2024. The national median cost per claim is $9.86. Costs vary widely — the 90th percentile is $41.31 per claim, 4.2× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

168K

Providers

285

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 99489? Based on 218 providers billing this code nationally.

Median

$9.86

Average

$18.78

Std Dev

$24.99

Max

$146.27

Percentile Distribution (Cost per Claim)

p10

$0.71

p25

$2.35

Median

$9.86

p75

$25.61

p90

$41.31

p95

$55.54

p99

$128.62

50% of providers bill between $2.35 and $25.61 per claim for this code.

90% bill between $0.71 and $41.31.

Top 1% bill above $128.62.

About This Procedure

HCPCS code 99489 was billed by 285 providers across 168K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 144K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.86

Providers Billing

218

National Spending

$1.9M

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99489

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316581440	$266K	$105.36	10.7× median	Top 10%
2	1194121681	$147K	$116.96	11.9× median	Top 10%
3	1811226749	$124K	$49.07	5.0× median	Top 10%
4	1922440684	$98K	$90.55	9.2× median	Top 10%
5	1184766107	$95K	$61.09	6.2× median	Top 10%
6	1790344869	$82K	$40.60	4.1× median	Above 75th
7	1710336094	$81K	$140.46	14.2× median	Top 1%
8	1518048859	$68K	$3.32	0.3× median	Below Median
9	1265063846	$66K	$28.81	2.9× median	Above 75th
10	1205903432	$50K	$3.71	0.4× median	Below Median
11	1285138438	$43K	$6.90	0.7× median	Below Median
12	1174976807	$42K	$24.47	2.5× median	Above Median
13	1104492115	$37K	$40.34	4.1× median	Above 75th
14	1003324617	$34K	$27.24	2.8× median	Above 75th
15	1073966735	$34K	$30.66	3.1× median	Above 75th
16	1275545725	$28K	$27.74	2.8× median	Above 75th
17	1639181126	$27K	$25.25	2.6× median	Above Median
18	1891319810	$26K	$9.39	1.0× median	Below Median
19	1477123321	$24K	$9.93	1.0× median	Above Median
20	1982102943	$19K	$33.47	3.4× median	Above 75th

Showing top 20 of 285 providers billing this code

Related Procedures

99479Subsequent intensive care, 2,501-5,000 grams$354.9M 99490Chronic care management services, 20 minutes per month$315.0M 99480Subsequent intensive care, very low birth weight infant$273.2M 99499Unlisted evaluation and management service$176.4M 99497$34.2M

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