99222
Initial hospital care, per day, moderate complexity
Initial hospital care, per day, moderate complexity is the #289 most-billed Medicaid procedure code, with $491.4M in payments across 7.6M claims from 2018–2024. The national median cost per claim is $51.25.
Total Paid
$491.4M
0.04% of all spending
Total Claims
7.6M
Providers
13K
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 99222? Based on 13K providers billing this code nationally.
Median
$51.25
Average
$56.87
Std Dev
$51.97
Max
$1,809.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.63 and $74.00 per claim for this code.
90% bill between $17.20 and $97.88.
Top 1% bill above $171.86.
About This Procedure
HCPCS code 99222 (Initial hospital care, per day, moderate complexity) was billed by 13K providers across 7.6M claims, totaling $491.4M in Medicaid payments from 2018–2024. This code was used for 6.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.25
Providers Billing
13K
National Spending
$491.4M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99222
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $14.1M |
| 2 | 1265658595 | $3.0M |
| 3 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $2.7M |
| 4 | 1386682094 | $2.3M |
| 5 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $2.2M |
| 6 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $2.2M |
| 7 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $2.1M |
| 8 | 1629242698 | $2.1M |
| 9 | Montefiore Medical Center Bronx, NY · Anesthesiology | $2.1M |
| 10 | County Of Riverside Riverside, CA · Community/Behavioral Health | $2.1M |
| 11 | 1447299797 | $2.0M |
| 12 | 1134163942 | $1.9M |
| 13 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $1.9M |
| 14 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $1.8M |
| 15 | 1124374822 | $1.8M |
| 16 | 1073827101 | $1.7M |
| 17 | 1912965088 | $1.6M |
| 18 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $1.6M |
| 19 | Ou Health Partners, Inc Oklahoma City, OK · Clinic/Center, Multi-Specialty | $1.4M |
| 20 | 1891820767 | $1.4M |
Showing top 20 of 13K providers billing this code