99252
HCPCS Procedure Code
HCPCS code 99252 is the #2,264 most-billed Medicaid procedure code, with $7.2M in payments across 129K claims from 2018–2024. The national median cost per claim is $38.63.
Total Paid
$7.2M
0.00% of all spending
Total Claims
129K
Providers
499
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 99252? Based on 494 providers billing this code nationally.
Median
$38.63
Average
$46.29
Std Dev
$50.60
Max
$883.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.21 and $52.74 per claim for this code.
90% bill between $25.22 and $70.29.
Top 1% bill above $133.65.
About This Procedure
HCPCS code 99252 was billed by 499 providers across 129K claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 112K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.63
Providers Billing
494
National Spending
$7.2M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99252
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $1.1M |
| 2 | 1588689483 | $601K |
| 3 | 1033300306 | $461K |
| 4 | 1265478333 | $372K |
| 5 | 1154566560 | $242K |
| 6 | 1043347768 | $184K |
| 7 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $172K |
| 8 | 1518916451 | $171K |
| 9 | 1922074434 | $164K |
| 10 | 1295164416 | $156K |
| 11 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $126K |
| 12 | 1962731745 | $120K |
| 13 | 1407806391 | $110K |
| 14 | 1376598599 | $105K |
| 15 | 1528371770 | $94K |
| 16 | 1992774053 | $88K |
| 17 | 1053311829 | $79K |
| 18 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $78K |
| 19 | 1447299797 | $75K |
| 20 | 1336120153 | $70K |
Showing top 20 of 499 providers billing this code