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#1389 of 11K

99602

HCPCS Procedure Code

HCPCS code 99602 is the #1,389 most-billed Medicaid procedure code, with $24.8M in payments across 268K claims from 2018–2024. The national median cost per claim is $84.91.

Total Paid

$24.8M

0.00% of all spending

Total Claims

268K

Providers

165

Avg Cost/Claim

$93

National Cost Distribution

How much do providers bill per claim for 99602? Based on 163 providers billing this code nationally.

Median

$84.91

Average

$88.29

Std Dev

$47.25

Max

$271.88

Percentile Distribution (Cost per Claim)

p10
$35.62
p25
$57.86
Median
$84.91
p75
$116.23
p90
$149.74
p95
$163.78
p99
$234.66

50% of providers bill between $57.86 and $116.23 per claim for this code.

90% bill between $35.62 and $149.74.

Top 1% bill above $234.66.

About This Procedure

HCPCS code 99602 was billed by 165 providers across 268K claims, totaling $24.8M in Medicaid payments from 2018–2024. This code was used for 148K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$84.91

Providers Billing

163

National Spending

$24.8M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99602

#ProviderTotal Paid
11851309595$2.3M
21568474716$1.3M
3Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$929K
41386782555$839K
51104230176$764K
61518036458$739K
71114926961$578K
81831241033$571K
91487631644$549K
101497977748$546K
111770528994$516K
121891071098$515K
131457772535$501K
141487609269$497K
151508890450$496K
161184653388$459K
171033166244$448K
18Orsini Pharmaceutical Services Llc

Elk Grove Village, IL · Pharmacy Specialty Pharmacy

$428K
191073054714$382K
201093112336$362K

Showing top 20 of 165 providers billing this code