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#2232 of 11K

99605

HCPCS Procedure Code

HCPCS code 99605 is the #2,232 most-billed Medicaid procedure code, with $7.6M in payments across 118K claims from 2018–2024. The national median cost per claim is $50.00.

Total Paid

$7.6M

0.00% of all spending

Total Claims

118K

Providers

395

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for 99605? Based on 360 providers billing this code nationally.

Median

$50.00

Average

$53.67

Std Dev

$30.40

Max

$415.35

Percentile Distribution (Cost per Claim)

p10
$30.05
p25
$44.72
Median
$50.00
p75
$64.97
p90
$72.54
p95
$75.00
p99
$190.88

50% of providers bill between $44.72 and $64.97 per claim for this code.

90% bill between $30.05 and $72.54.

Top 1% bill above $190.88.

About This Procedure

HCPCS code 99605 was billed by 395 providers across 118K claims, totaling $7.6M in Medicaid payments from 2018–2024. This code was used for 108K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.00

Providers Billing

360

National Spending

$7.6M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99605

#ProviderTotal Paid
11225558695$2.4M
21366060899$792K
31790045292$425K
41093086837$297K
5Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$198K
61114224649$142K
7Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$116K
81174184709$110K
91598018806$91K
101891439154$90K
111891744538$81K
121376240978$77K
131932208808$72K
141154182335$67K
151194724880$57K
161437672797$48K
171497355002$47K
181407880628$46K
191467678706$45K
201043783764$45K

Showing top 20 of 395 providers billing this code