99172
HCPCS Procedure Code
HCPCS code 99172 is the #3,096 most-billed Medicaid procedure code, with $2.5M in payments across 441K claims from 2018–2024. The national median cost per claim is $7.43.
Total Paid
$2.5M
0.00% of all spending
Total Claims
441K
Providers
314
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 99172? Based on 129 providers billing this code nationally.
Median
$7.43
Average
$7.64
Std Dev
$13.29
Max
$131.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.44 and $9.31 per claim for this code.
90% bill between $0.05 and $13.54.
Top 1% bill above $50.25.
About This Procedure
HCPCS code 99172 was billed by 314 providers across 441K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 428K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.43
Providers Billing
129
National Spending
$2.5M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99172
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194855155 | $349K |
| 2 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $243K |
| 3 | 1760462253 | $129K |
| 4 | 1154370344 | $113K |
| 5 | 1265441877 | $105K |
| 6 | 1033429394 | $104K |
| 7 | 1275605594 | $101K |
| 8 | 1578625661 | $95K |
| 9 | 1851386106 | $85K |
| 10 | 1497863229 | $84K |
| 11 | 1609896018 | $82K |
| 12 | 1245283977 | $71K |
| 13 | 1699868703 | $69K |
| 14 | 1780692400 | $57K |
| 15 | 1881804581 | $52K |
| 16 | 1932116191 | $49K |
| 17 | 1982768032 | $43K |
| 18 | 1376875229 | $39K |
| 19 | 1053408948 | $35K |
| 20 | 1205805181 | $34K |
Showing top 20 of 314 providers billing this code