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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | North Shore-lij Medical Pc Great Neck, NY · Urology | $1.8M |
| 2 | Pmh Laboratory Inc Irvine, CA · Clinical Medical Laboratory | $327K |
| 3 | 1184785842 | $303K |
| 4 | Easter Seals Southern California Inc Irvine, CA · Behavior Analyst | $271K |
| 5 | 1780186130 | $163K |
| 6 | 1609965441 | $143K |
| 7 | 1982831533 | $137K |
| 8 | 1477734986 | $134K |
| 9 | Montefiore Medical Center Bronx, NY · Anesthesiology | $128K |
| 10 | 1225464134 | $125K |
| 11 | 1407974579 | $114K |
| 12 | 1407315096 | $101K |
| 13 | 1407927510 | $100K |
| 14 | 1942393749 | $100K |
| 15 | 1043317928 | $86K |
| 16 | 1023362027 | $85K |
| 17 | 1275579906 | $78K |
| 18 | 1760570600 | $69K |
| 19 | 1750482493 | $68K |
| 20 | 1063839934 | $67K |
Showing top 20 of 7K providers billing this code