#2002 of 11K

59899

HCPCS Procedure Code

HCPCS code 59899 is the #2,002 most-billed Medicaid procedure code, with $10.3M in payments across 50K claims from 2018–2024. The national median cost per claim is $86.86. Costs vary widely — the 90th percentile is $663.92 per claim, 7.6× the median.

Total Paid

$10.3M

0.00% of all spending

Total Claims

50K

Providers

Avg Cost/Claim

$206

National Cost Distribution

How much do providers bill per claim for 59899? Based on 42 providers billing this code nationally.

Median

$86.86

Average

$184.57

Std Dev

$233.11

Max

$849.63

Percentile Distribution (Cost per Claim)

p10

$10.73

p25

$42.33

Median

$86.86

p75

$199.15

p90

$663.92

p95

$697.24

p99

$802.25

50% of providers bill between $42.33 and $199.15 per claim for this code.

90% bill between $10.73 and $663.92.

Top 1% bill above $802.25.

About This Procedure

HCPCS code 59899 was billed by 50 providers across 50K claims, totaling $10.3M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$86.86

Providers Billing

National Spending

$10.3M

Avg/Median Ratio

2.12×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 59899

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$3.0M	$734.06	8.5× median	Top 10%
2	Carilion Medical Center Roanoke, VA · General Acute Care Hospital	$2.3M	$849.63	9.8× median	Top 1%
3	1285662239	$1.3M	$245.10	2.8× median	Above 75th
4	1174551147	$914K	$200.59	2.3× median	Above 75th
5	1477599975	$536K	$89.43	1.0× median	Above Median
6	1881632818	$516K	$179.95	2.1× median	Above Median
7	1346519816	$458K	$59.66	0.7× median	Below Median
8	Berkshire Medical Center, Inc Pittsfield, MA · General Acute Care Hospital	$261K	$662.70	7.6× median	Above 75th
9	1235371378	$192K	$61.89	0.7× median	Below Median
10	1548205883	$182K	$146.50	1.7× median	Above Median
11	1336103738	$147K	$695.95	8.0× median	Top 10%
12	1265419907	$86K	$32.17	0.4× median	Below Median
13	1376536573	$78K	$664.06	7.6× median	Top 10%
14	1245206507	$39K	$194.82	2.2× median	Above Median
15	1902051493	$30K	$238.74	2.7× median	Above 75th
16	1346226750	$25K	$232.91	2.7× median	Above 75th
17	1083700686	$23K	$179.20	2.1× median	Above Median
18	1619923919	$22K	$67.99	0.8× median	Below Median
19	1780683292	$16K	$99.01	1.1× median	Above Median
20	1275620585	$15K	$180.96	2.1× median	Above Median

Showing top 20 of 50 providers billing this code

← All procedures Top providers →