99058
HCPCS Procedure Code
HCPCS code 99058 is the #1,837 most-billed Medicaid procedure code, with $13.0M in payments across 572K claims from 2018–2024. The national median cost per claim is $15.38. Costs vary widely — the 90th percentile is $63.67 per claim, 4.1× the median.
Total Paid
$13.0M
0.00% of all spending
Total Claims
572K
Providers
492
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 99058? Based on 364 providers billing this code nationally.
Median
$15.38
Average
$23.70
Std Dev
$24.28
Max
$150.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.18 and $34.64 per claim for this code.
90% bill between $0.51 and $63.67.
Top 1% bill above $72.34.
About This Procedure
HCPCS code 99058 was billed by 492 providers across 572K claims, totaling $13.0M in Medicaid payments from 2018–2024. This code was used for 497K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.38
Providers Billing
364
National Spending
$13.0M
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99058
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376925453 | $1.1M |
| 2 | 1336536655 | $850K |
| 3 | 1669470019 | $756K |
| 4 | 1780930016 | $721K |
| 5 | 1801032396 | $604K |
| 6 | 1003945676 | $504K |
| 7 | 1942364054 | $424K |
| 8 | 1114340171 | $417K |
| 9 | 1487824223 | $378K |
| 10 | 1689603748 | $229K |
| 11 | 1699962431 | $215K |
| 12 | 1437180171 | $213K |
| 13 | 1396955878 | $210K |
| 14 | 1144747460 | $197K |
| 15 | 1710235775 | $196K |
| 16 | 1164795357 | $187K |
| 17 | 1811297070 | $171K |
| 18 | 1780816199 | $168K |
| 19 | 1790174076 | $168K |
| 20 | 1477991545 | $166K |
Showing top 20 of 492 providers billing this code