99607
HCPCS Procedure Code
HCPCS code 99607 is the #1,925 most-billed Medicaid procedure code, with $11.4M in payments across 221K claims from 2018–2024. The national median cost per claim is $50.77. Costs vary widely — the 90th percentile is $103.43 per claim, 2.0× the median.
Total Paid
$11.4M
0.00% of all spending
Total Claims
221K
Providers
358
Avg Cost/Claim
$52
National Cost Distribution
How much do providers bill per claim for 99607? Based on 312 providers billing this code nationally.
Median
$50.77
Average
$62.51
Std Dev
$56.99
Max
$345.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.06 and $84.49 per claim for this code.
90% bill between $10.21 and $103.43.
Top 1% bill above $295.00.
About This Procedure
HCPCS code 99607 was billed by 358 providers across 221K claims, totaling $11.4M in Medicaid payments from 2018–2024. This code was used for 175K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.77
Providers Billing
312
National Spending
$11.4M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99607
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $1.8M |
| 2 | 1790045292 | $1.1M |
| 3 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $732K |
| 4 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $704K |
| 5 | 1598117210 | $523K |
| 6 | 1093086837 | $423K |
| 7 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $263K |
| 8 | 1619426665 | $236K |
| 9 | 1376240978 | $230K |
| 10 | 1780605451 | $218K |
| 11 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $200K |
| 12 | 1154182335 | $197K |
| 13 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $187K |
| 14 | 1306627872 | $174K |
| 15 | 1174929723 | $155K |
| 16 | 1093921439 | $143K |
| 17 | 1043950769 | $128K |
| 18 | 1346755576 | $124K |
| 19 | 1578595674 | $112K |
| 20 | 1821373077 | $111K |
Showing top 20 of 358 providers billing this code