99495
HCPCS Procedure Code
HCPCS code 99495 is the #2,148 most-billed Medicaid procedure code, with $8.4M in payments across 107K claims from 2018–2024. The national median cost per claim is $52.75. Costs vary widely — the 90th percentile is $126.53 per claim, 2.4× the median.
Total Paid
$8.4M
0.00% of all spending
Total Claims
107K
Providers
369
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for 99495? Based on 291 providers billing this code nationally.
Median
$52.75
Average
$60.66
Std Dev
$60.37
Max
$500.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.74 and $85.15 per claim for this code.
90% bill between $3.72 and $126.53.
Top 1% bill above $230.36.
About This Procedure
HCPCS code 99495 was billed by 369 providers across 107K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 89K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.75
Providers Billing
291
National Spending
$8.4M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99495
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780656215 | $3.7M |
| 2 | 1114656816 | $1.0M |
| 3 | 1245781160 | $246K |
| 4 | 1003829441 | $191K |
| 5 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $159K |
| 6 | 1972765501 | $154K |
| 7 | 1578076501 | $152K |
| 8 | 1619923919 | $146K |
| 9 | 1659312593 | $129K |
| 10 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $127K |
| 11 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $123K |
| 12 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $99K |
| 13 | 1083952857 | $96K |
| 14 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $84K |
| 15 | 1578598868 | $83K |
| 16 | 1295023547 | $76K |
| 17 | 1831248236 | $70K |
| 18 | Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital | $53K |
| 19 | 1497047203 | $50K |
| 20 | 1184849200 | $49K |
Showing top 20 of 369 providers billing this code