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#67 of 11K

99232

Subsequent hospital care, per day, moderate complexity

Subsequent hospital care, per day, moderate complexity is the #67 most-billed Medicaid procedure code, with $2.93B in payments across 96.6M claims from 2018–2024. The national median cost per claim is $23.99. Costs vary widely — the 90th percentile is $49.94 per claim, 2.1× the median.

Total Paid

$2.93B

0.27% of all spending

Total Claims

96.6M

Providers

30K

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 99232? Based on 30K providers billing this code nationally.

Median

$23.99

Average

$28.24

Std Dev

$28.95

Max

$1,440.74

Percentile Distribution (Cost per Claim)

p10
$8.45
p25
$14.65
Median
$23.99
p75
$37.17
p90
$49.94
p95
$59.94
p99
$93.82

50% of providers bill between $14.65 and $37.17 per claim for this code.

90% bill between $8.45 and $49.94.

Top 1% bill above $93.82.

About This Procedure

HCPCS code 99232 (Subsequent hospital care, per day, moderate complexity) was billed by 30K providers across 96.6M claims, totaling $2.93B in Medicaid payments from 2018–2024. This code was used for 32.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.99

Providers Billing

30K

National Spending

$2.93B

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99232

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$66.9M
2County Of San Diego

San Diego, CA · Public Health or Welfare

$16.1M
3Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$13.5M
4Community Physicians Of Indiana Inc

Indianapolis, IN · Internal Medicine

$13.4M
51518990712$13.3M
61124374822$11.6M
7Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$10.2M
81154369510$9.5M
9Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$8.4M
10County Of Riverside

Riverside, CA · Community/Behavioral Health

$7.7M
111760492367$7.3M
12Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$7.2M
13District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$7.2M
141093768723$7.0M
151750343216$7.0M
161669456257$6.9M
171992244438$6.8M
181023041159$6.8M
191447299797$6.7M
201326091448$6.6M

Showing top 20 of 30K providers billing this code