99174
HCPCS Procedure Code
HCPCS code 99174 is the #2,266 most-billed Medicaid procedure code, with $7.2M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $5.27. Costs vary widely — the 90th percentile is $17.14 per claim, 3.3× the median.
Total Paid
$7.2M
0.00% of all spending
Total Claims
1.2M
Providers
1K
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 99174? Based on 805 providers billing this code nationally.
Median
$5.27
Average
$7.68
Std Dev
$11.10
Max
$140.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.15 and $8.99 per claim for this code.
90% bill between $0.25 and $17.14.
Top 1% bill above $52.92.
About This Procedure
HCPCS code 99174 was billed by 1K providers across 1.2M claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.27
Providers Billing
805
National Spending
$7.2M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99174
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720215346 | $354K |
| 2 | 1194754382 | $291K |
| 3 | 1235212036 | $271K |
| 4 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $192K |
| 5 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $179K |
| 6 | 1801073176 | $165K |
| 7 | 1851846661 | $162K |
| 8 | 1467537290 | $131K |
| 9 | 1861530750 | $131K |
| 10 | Optum Medical Care Of New Jersey Pc Secaucus, NJ · Durable Medical Equipment & Medical Supplies | $127K |
| 11 | 1073570784 | $115K |
| 12 | 1437605532 | $109K |
| 13 | 1386886117 | $103K |
| 14 | 1114196557 | $102K |
| 15 | 1780694620 | $100K |
| 16 | 1114948288 | $99K |
| 17 | 1407975675 | $93K |
| 18 | 1306873500 | $90K |
| 19 | 1326695255 | $89K |
| 20 | 1144275777 | $87K |
Showing top 20 of 1K providers billing this code