99291
Critical care, first 30-74 minutes
Critical care, first 30-74 minutes is the #140 most-billed Medicaid procedure code, with $1.31B in payments across 10.9M claims from 2018–2024. The national median cost per claim is $101.24.
Total Paid
$1.31B
0.12% of all spending
Total Claims
10.9M
Providers
8K
Avg Cost/Claim
$120
National Cost Distribution
How much do providers bill per claim for 99291? Based on 8K providers billing this code nationally.
Median
$101.24
Average
$124.94
Std Dev
$136.79
Max
$2,887.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.21 and $136.27 per claim for this code.
90% bill between $38.87 and $195.87.
Top 1% bill above $774.50.
About This Procedure
HCPCS code 99291 (Critical care, first 30-74 minutes) was billed by 8K providers across 10.9M claims, totaling $1.31B in Medicaid payments from 2018–2024. This code was used for 5.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$101.24
Providers Billing
8K
National Spending
$1.31B
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99291
| # | Provider | Total Paid |
|---|---|---|
| 1 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $13.5M |
| 2 | 1124374822 | $8.6M |
| 3 | 1952792475 | $8.0M |
| 4 | 1386813103 | $7.3M |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $6.7M |
| 6 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $6.6M |
| 7 | Mep Health Llc Rockville, MD · Emergency Medicine | $5.8M |
| 8 | Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital | $5.7M |
| 9 | Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health | $5.7M |
| 10 | 1417285230 | $5.7M |
| 11 | Ut Physicians Houston, TX · Emergency Medicine | $5.6M |
| 12 | 1962712828 | $5.4M |
| 13 | 1700154226 | $5.4M |
| 14 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $5.2M |
| 15 | University Physicians Incorporated Aurora, CO · Anesthesiology | $5.1M |
| 16 | 1750751566 | $5.1M |
| 17 | 1831296995 | $5.0M |
| 18 | 1952533887 | $5.0M |
| 19 | 1033135520 | $5.0M |
| 20 | 1831218627 | $4.9M |
Showing top 20 of 8K providers billing this code