99491
HCPCS Procedure Code
HCPCS code 99491 is the #2,353 most-billed Medicaid procedure code, with $6.5M in payments across 334K claims from 2018–2024. The national median cost per claim is $9.86. Costs vary widely — the 90th percentile is $54.80 per claim, 5.6× the median.
Total Paid
$6.5M
0.00% of all spending
Total Claims
334K
Providers
649
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 99491? Based on 552 providers billing this code nationally.
Median
$9.86
Average
$18.44
Std Dev
$23.78
Max
$113.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.86 and $20.79 per claim for this code.
90% bill between $0.70 and $54.80.
Top 1% bill above $99.49.
About This Procedure
HCPCS code 99491 was billed by 649 providers across 334K claims, totaling $6.5M in Medicaid payments from 2018–2024. This code was used for 307K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.86
Providers Billing
552
National Spending
$6.5M
Avg/Median Ratio
1.87×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99491
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003836545 | $441K |
| 2 | 1811449697 | $387K |
| 3 | 1588244750 | $366K |
| 4 | 1245859388 | $238K |
| 5 | 1366544710 | $220K |
| 6 | 1467878363 | $201K |
| 7 | 1770547523 | $189K |
| 8 | 1053344473 | $189K |
| 9 | 1457392862 | $183K |
| 10 | 1154357689 | $177K |
| 11 | 1306864947 | $172K |
| 12 | 1659540870 | $171K |
| 13 | 1033704630 | $161K |
| 14 | 1538642996 | $141K |
| 15 | 1710336094 | $139K |
| 16 | 1154421246 | $127K |
| 17 | 1932708492 | $117K |
| 18 | 1710927306 | $101K |
| 19 | 1760014120 | $99K |
| 20 | 1093744856 | $77K |
Showing top 20 of 649 providers billing this code