99051
HCPCS Procedure Code
HCPCS code 99051 is the #533 most-billed Medicaid procedure code, with $161.9M in payments across 14.0M claims from 2018–2024. The national median cost per claim is $7.89. Costs vary widely — the 90th percentile is $24.01 per claim, 3.0× the median.
Total Paid
$161.9M
0.01% of all spending
Total Claims
14.0M
Providers
6K
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 99051? Based on 5K providers billing this code nationally.
Median
$7.89
Average
$10.95
Std Dev
$11.18
Max
$191.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.38 and $16.05 per claim for this code.
90% bill between $0.78 and $24.01.
Top 1% bill above $52.45.
About This Procedure
HCPCS code 99051 was billed by 6K providers across 14.0M claims, totaling $161.9M in Medicaid payments from 2018–2024. This code was used for 11.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.89
Providers Billing
5K
National Spending
$161.9M
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99051
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780673319 | $15.2M |
| 2 | New York Psychotherapy And Counseling Center Jamaica, NY · Community/Behavioral Health | $7.1M |
| 3 | 1225429533 | $3.4M |
| 4 | 1003340001 | $3.0M |
| 5 | Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics | $2.8M |
| 6 | 1568996569 | $2.7M |
| 7 | Interborough Developmental And Consultation Center Inc. Brooklyn, NY · Case Management | $2.3M |
| 8 | 1235411547 | $2.1M |
| 9 | 1689755662 | $1.8M |
| 10 | New Horizon Counseling Center Inc South Ozone Park, NY · Clinic/Center Mental Health (Including Community Mental Health Center) | $1.8M |
| 11 | 1376920074 | $1.8M |
| 12 | 1811091952 | $1.8M |
| 13 | 1508817248 | $1.7M |
| 14 | 1063436624 | $1.7M |
| 15 | 1689603748 | $1.6M |
| 16 | Parcare Community Health Network Inc Brooklyn, NY · Specialist | $1.6M |
| 17 | 1881941433 | $1.5M |
| 18 | 1831460930 | $1.4M |
| 19 | 1609192319 | $1.4M |
| 20 | 1043339054 | $1.4M |
Showing top 20 of 6K providers billing this code