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#5618 of 11K

99002

HCPCS Procedure Code

HCPCS code 99002 is the #5,618 most-billed Medicaid procedure code, with $167K in payments across 32K claims from 2018–2024. The national median cost per claim is $5.42.

Total Paid

$167K

0.00% of all spending

Total Claims

32K

Providers

27

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 99002? Based on 17 providers billing this code nationally.

Median

$5.42

Average

$6.13

Std Dev

$2.57

Max

$10.24

Percentile Distribution (Cost per Claim)

p10
$4.09
p25
$4.88
Median
$5.42
p75
$8.70
p90
$9.45
p95
$9.65
p99
$10.12

50% of providers bill between $4.88 and $8.70 per claim for this code.

90% bill between $4.09 and $9.45.

Top 1% bill above $10.12.

About This Procedure

HCPCS code 99002 was billed by 27 providers across 32K claims, totaling $167K in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.42

Providers Billing

17

National Spending

$167K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99002

#ProviderTotal Paid
11770630527$79K
21568760783$20K
31144921156$14K
41730186867$12K
51346530961$11K
61689903965$10K
71053711473$8K
81528503158$5K
91033128145$3K
101871100669$2K
111942077243$2K
121225336282$166
131164594511$149
141093920670$122
151659612315$84
161134392871$80
171437158375$55
181144268749$0
191750498010$0
201770601585$0

Showing top 20 of 27 providers billing this code

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