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#6128 of 11K

99999

HCPCS Procedure Code

HCPCS code 99999 is the #6,128 most-billed Medicaid procedure code, with $93K in payments across 8K claims from 2018–2024. The national median cost per claim is $348.86.

Total Paid

$93K

0.00% of all spending

Total Claims

8K

Providers

11

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 99999? Based on 2 providers billing this code nationally.

Median

$348.86

Average

$348.86

Std Dev

$461.23

Max

$675.00

Percentile Distribution (Cost per Claim)

p10
$87.95
p25
$185.79
Median
$348.86
p75
$511.93
p90
$609.77
p95
$642.39
p99
$668.48

50% of providers bill between $185.79 and $511.93 per claim for this code.

90% bill between $87.95 and $609.77.

Top 1% bill above $668.48.

About This Procedure

HCPCS code 99999 was billed by 11 providers across 8K claims, totaling $93K in Medicaid payments from 2018–2024. This code was used for 985 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$348.86

Providers Billing

2

National Spending

$93K

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99999

#ProviderTotal Paid
11245239680$77K
21811036726$16K
3Meridian Services

Muncie, IN · Community/Behavioral Health

$0
41699327247$0
51235641697$0
6Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$0
71679631907$0
8Mbi Health Services Llc

Washington, DC · Case Management

$0
91649525569$0
101134369366$0
111194819169$0

Showing top 11 of 11 providers billing this code

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