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#2153 of 11K

99072

HCPCS Procedure Code

HCPCS code 99072 is the #2,153 most-billed Medicaid procedure code, with $8.4M in payments across 8.2M claims from 2018–2024. The national median cost per claim is $0.54. Costs vary widely — the 90th percentile is $8.46 per claim, 15.7× the median.

Total Paid

$8.4M

0.00% of all spending

Total Claims

8.2M

Providers

7K

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 99072? Based on 3K providers billing this code nationally.

Median

$0.54

Average

$3.20

Std Dev

$8.68

Max

$237.93

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.07
Median
$0.54
p75
$3.12
p90
$8.46
p95
$13.89
p99
$33.76

50% of providers bill between $0.07 and $3.12 per claim for this code.

90% bill between $0.01 and $8.46.

Top 1% bill above $33.76.

About This Procedure

HCPCS code 99072 was billed by 7K providers across 8.2M claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 6.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.54

Providers Billing

3K

National Spending

$8.4M

Avg/Median Ratio

5.93×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99072

#ProviderTotal Paid
1North Shore-lij Medical Pc

Great Neck, NY · Urology

$1.8M
2Pmh Laboratory Inc

Irvine, CA · Clinical Medical Laboratory

$327K
31184785842$303K
4Easter Seals Southern California Inc

Irvine, CA · Behavior Analyst

$271K
51780186130$163K
61609965441$143K
71982831533$137K
81477734986$134K
9Montefiore Medical Center

Bronx, NY · Anesthesiology

$128K
101225464134$125K
111407974579$114K
121407315096$101K
131407927510$100K
141942393749$100K
151043317928$86K
161023362027$85K
171275579906$78K
181760570600$69K
191750482493$68K
201063839934$67K

Showing top 20 of 7K providers billing this code