99241
Office consultation, straightforward
Office consultation, straightforward is the #1,550 most-billed Medicaid procedure code, with $19.6M in payments across 296K claims from 2018–2024. The national median cost per claim is $36.49. Costs vary widely — the 90th percentile is $98.17 per claim, 2.7× the median.
Total Paid
$19.6M
0.00% of all spending
Total Claims
296K
Providers
555
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for 99241? Based on 508 providers billing this code nationally.
Median
$36.49
Average
$47.86
Std Dev
$40.28
Max
$595.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.80 and $58.12 per claim for this code.
90% bill between $14.46 and $98.17.
Top 1% bill above $149.77.
About This Procedure
HCPCS code 99241 (Office consultation, straightforward) was billed by 555 providers across 296K claims, totaling $19.6M in Medicaid payments from 2018–2024. This code was used for 267K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.49
Providers Billing
508
National Spending
$19.6M
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99241
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992746879 | $2.4M |
| 2 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $1.0M |
| 3 | 1275583726 | $764K |
| 4 | 1275844789 | $636K |
| 5 | 1669412441 | $614K |
| 6 | 1043849086 | $602K |
| 7 | 1528058864 | $545K |
| 8 | 1063499101 | $513K |
| 9 | 1043822208 | $502K |
| 10 | 1871891168 | $489K |
| 11 | 1205980927 | $455K |
| 12 | 1063489482 | $412K |
| 13 | 1215904800 | $410K |
| 14 | 1205890332 | $356K |
| 15 | 1689680449 | $336K |
| 16 | 1528103488 | $305K |
| 17 | 1649325614 | $283K |
| 18 | State Of Missouri Jefferson City, MO · Psychologist, Rehabilitation | $266K |
| 19 | 1609862622 | $251K |
| 20 | 1669617197 | $211K |
Showing top 20 of 555 providers billing this code