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#372 of 11K

99490

Chronic care management services, 20 minutes per month

Chronic care management services, 20 minutes per month is the #372 most-billed Medicaid procedure code, with $315.0M in payments across 9.0M claims from 2018–2024. The national median cost per claim is $6.31. Costs vary widely — the 90th percentile is $26.08 per claim, 4.1× the median.

Total Paid

$315.0M

0.03% of all spending

Total Claims

9.0M

Providers

6K

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 99490? Based on 5K providers billing this code nationally.

Median

$6.31

Average

$11.41

Std Dev

$19.70

Max

$381.58

Percentile Distribution (Cost per Claim)

p10
$0.93
p25
$2.54
Median
$6.31
p75
$12.03
p90
$26.08
p95
$38.41
p99
$111.34

50% of providers bill between $2.54 and $12.03 per claim for this code.

90% bill between $0.93 and $26.08.

Top 1% bill above $111.34.

About This Procedure

HCPCS code 99490 (Chronic care management services, 20 minutes per month) was billed by 6K providers across 9.0M claims, totaling $315.0M in Medicaid payments from 2018–2024. This code was used for 8.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.31

Providers Billing

5K

National Spending

$315.0M

Avg/Median Ratio

1.81×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99490

#ProviderTotal Paid
11063586071$24.2M
21801867734$19.3M
31982657490$18.6M
41669784104$12.6M
51245291129$11.2M
61710046255$10.4M
71952529950$9.6M
81063402618$8.4M
91316944598$7.5M
101942361084$7.1M
111427390061$7.0M
121659353670$6.8M
131053467423$6.5M
141871542829$6.3M
151922188606$5.6M
161952443632$5.4M
171346386513$4.5M
181891788048$4.5M
191134265291$3.7M
201326096116$3.5M

Showing top 20 of 6K providers billing this code