99601
HCPCS Procedure Code
HCPCS code 99601 is the #593 most-billed Medicaid procedure code, with $135.7M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $82.41.
Total Paid
$135.7M
0.01% of all spending
Total Claims
1.5M
Providers
336
Avg Cost/Claim
$89
National Cost Distribution
How much do providers bill per claim for 99601? Based on 322 providers billing this code nationally.
Median
$82.41
Average
$82.27
Std Dev
$37.78
Max
$224.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.08 and $101.46 per claim for this code.
90% bill between $30.07 and $122.37.
Top 1% bill above $215.22.
About This Procedure
HCPCS code 99601 was billed by 336 providers across 1.5M claims, totaling $135.7M in Medicaid payments from 2018–2024. This code was used for 580K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$82.41
Providers Billing
322
National Spending
$135.7M
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99601
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1831241033 | $7.6M |
| 2 | Optum Women's And Children's Health, Llc Marietta, GA · Home Health | $7.6M |
| 3 | 1518036458 | $5.3M |
| 4 | 1508890450 | $4.8M |
| 5 | Optum Infusion Services 308 Llc Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy | $3.7M |
| 6 | 1538147202 | $3.1M |
| 7 | 1568474716 | $3.0M |
| 8 | 1427132265 | $2.9M |
| 9 | 1992777510 | $2.7M |
| 10 | 1104230176 | $2.4M |
| 11 | 1033166244 | $2.2M |
| 12 | 1457872632 | $2.1M |
| 13 | 1992788350 | $2.1M |
| 14 | 1902182637 | $2.0M |
| 15 | 1730268384 | $1.9M |
| 16 | 1376631457 | $1.8M |
| 17 | 1295738409 | $1.6M |
| 18 | 1871514745 | $1.6M |
| 19 | 1851309595 | $1.6M |
| 20 | 1114099488 | $1.5M |
Showing top 20 of 336 providers billing this code