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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1063586071 | $24.2M |
| 2 | 1801867734 | $19.3M |
| 3 | 1982657490 | $18.6M |
| 4 | 1669784104 | $12.6M |
| 5 | 1245291129 | $11.2M |
| 6 | 1710046255 | $10.4M |
| 7 | 1952529950 | $9.6M |
| 8 | 1063402618 | $8.4M |
| 9 | 1316944598 | $7.5M |
| 10 | 1942361084 | $7.1M |
| 11 | 1427390061 | $7.0M |
| 12 | 1659353670 | $6.8M |
| 13 | 1053467423 | $6.5M |
| 14 | 1871542829 | $6.3M |
| 15 | 1922188606 | $5.6M |
| 16 | 1952443632 | $5.4M |
| 17 | 1346386513 | $4.5M |
| 18 | 1891788048 | $4.5M |
| 19 | 1134265291 | $3.7M |
| 20 | 1326096116 | $3.5M |
Showing top 20 of 6K providers billing this code