99244
Office or other outpatient consultation, moderate complexity
Office or other outpatient consultation, moderate complexity is the #333 most-billed Medicaid procedure code, with $402.7M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $121.58.
Total Paid
$402.7M
0.04% of all spending
Total Claims
3.4M
Providers
5K
Avg Cost/Claim
$118
National Cost Distribution
How much do providers bill per claim for 99244? Based on 5K providers billing this code nationally.
Median
$121.58
Average
$122.85
Std Dev
$50.54
Max
$1,006.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $97.20 and $145.61 per claim for this code.
90% bill between $66.90 and $176.51.
Top 1% bill above $271.27.
About This Procedure
HCPCS code 99244 (Office or other outpatient consultation, moderate complexity) was billed by 5K providers across 3.4M claims, totaling $402.7M in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$121.58
Providers Billing
5K
National Spending
$402.7M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99244
| # | Provider | Total Paid |
|---|---|---|
| 1 | Texas Children's Physician Group Houston, TX · Pediatrics | $10.1M |
| 2 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $5.7M |
| 3 | 1629161112 | $5.6M |
| 4 | Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.) | $5.3M |
| 5 | The Nemours Foundation Jacksonville, FL · Clinic/Center Multi-Specialty | $5.1M |
| 6 | 1437555265 | $4.8M |
| 7 | 1801856786 | $4.0M |
| 8 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $4.0M |
| 9 | 1841573870 | $3.7M |
| 10 | Prisma Health University Medical Group Greenville, SC · Internal Medicine | $3.6M |
| 11 | 1356377576 | $3.6M |
| 12 | 1982678496 | $3.3M |
| 13 | Geisinger Clinic Danville, PA · Surgery | $3.1M |
| 14 | 1558354332 | $3.1M |
| 15 | 1548240443 | $3.0M |
| 16 | Yale University New Haven, CT · Internal Medicine | $2.9M |
| 17 | 1235148727 | $2.9M |
| 18 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2.8M |
| 19 | 1780800128 | $2.8M |
| 20 | 1275988321 | $2.7M |
Showing top 20 of 5K providers billing this code