#1231 of 11K

T5999

Transportation service, not otherwise classified

Transportation service, not otherwise classified is the #1,231 most-billed Medicaid procedure code, with $32.3M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $8.13. Costs vary widely — the 90th percentile is $117.46 per claim, 14.4× the median.

Total Paid

$32.3M

0.00% of all spending

Total Claims

1.6M

Providers

255

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for T5999? Based on 242 providers billing this code nationally.

Median

$8.13

Average

$63.37

Std Dev

$255.99

Max

$3,535.27

Percentile Distribution (Cost per Claim)

p10

$4.91

p25

$6.02

Median

$8.13

p75

$19.01

p90

$117.46

p95

$276.82

p99

$843.26

50% of providers bill between $6.02 and $19.01 per claim for this code.

90% bill between $4.91 and $117.46.

Top 1% bill above $843.26.

About This Procedure

HCPCS code T5999 (Transportation service, not otherwise classified) was billed by 255 providers across 1.6M claims, totaling $32.3M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.13

Providers Billing

242

National Spending

$32.3M

Avg/Median Ratio

7.79×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T5999

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$4.3M	$442.61	54.4× median	Top 10%
2	1588760870	$3.9M	$112.76	13.9× median	Above 75th
3	Planned Parenthood Of Wisconsin Milwaukee, WI · Clinic/Center Ambulatory Family Planning Facility	$1.8M	$73.68	9.1× median	Above 75th
4	1245215714	$1.3M	$13.83	1.7× median	Above Median
5	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$1.2M	$86.86	10.7× median	Above 75th
6	1790738383	$1.0M	$9.67	1.2× median	Above Median
7	Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health	$1.0M	$82.71	10.2× median	Above 75th
8	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$872K	$225.71	27.8× median	Top 10%
9	Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies	$828K	$12.72	1.6× median	Above Median
10	1942586805	$804K	$10.91	1.3× median	Above Median
11	1902829500	$671K	$16.88	2.1× median	Above Median
12	1902841844	$646K	$106.74	13.1× median	Above 75th
13	1245711811	$628K	$11.61	1.4× median	Above Median
14	1578678223	$621K	$409.41	50.4× median	Top 10%
15	1992798615	$487K	$11.81	1.5× median	Above Median
16	1881891976	$474K	$8.76	1.1× median	Above Median
17	1275868176	$467K	$10.27	1.3× median	Above Median
18	1194807297	$449K	$117.98	14.5× median	Top 10%
19	1972753234	$448K	$26.52	3.3× median	Above 75th
20	1275612673	$419K	$55.26	6.8× median	Above 75th

Showing top 20 of 255 providers billing this code

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