99494
HCPCS Procedure Code
HCPCS code 99494 is the #3,218 most-billed Medicaid procedure code, with $2.2M in payments across 70K claims from 2018–2024. The national median cost per claim is $36.93. Costs vary widely — the 90th percentile is $85.81 per claim, 2.3× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
70K
Providers
131
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for 99494? Based on 114 providers billing this code nationally.
Median
$36.93
Average
$40.64
Std Dev
$32.61
Max
$188.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.05 and $55.99 per claim for this code.
90% bill between $2.98 and $85.81.
Top 1% bill above $128.44.
About This Procedure
HCPCS code 99494 was billed by 131 providers across 70K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.93
Providers Billing
114
National Spending
$2.2M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99494
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710336094 | $585K |
| 2 | 1376014076 | $186K |
| 3 | 1215205539 | $167K |
| 4 | 1043376973 | $91K |
| 5 | 1649538109 | $73K |
| 6 | 1447643853 | $69K |
| 7 | 1760407571 | $59K |
| 8 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $57K |
| 9 | 1548664840 | $54K |
| 10 | 1477827418 | $52K |
| 11 | 1417409905 | $52K |
| 12 | 1669402848 | $44K |
| 13 | 1407483175 | $43K |
| 14 | 1801808357 | $43K |
| 15 | 1366472326 | $39K |
| 16 | 1225356157 | $39K |
| 17 | 1912142985 | $34K |
| 18 | 1770760407 | $27K |
| 19 | 1750613329 | $26K |
| 20 | 1780676650 | $25K |
Showing top 20 of 131 providers billing this code