99310
HCPCS Procedure Code
HCPCS code 99310 is the #555 most-billed Medicaid procedure code, with $148.5M in payments across 4.8M claims from 2018–2024. The national median cost per claim is $21.82. Costs vary widely — the 90th percentile is $63.23 per claim, 2.9× the median.
Total Paid
$148.5M
0.01% of all spending
Total Claims
4.8M
Providers
4K
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 99310? Based on 4K providers billing this code nationally.
Median
$21.82
Average
$29.25
Std Dev
$32.32
Max
$1,166.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.42 and $38.79 per claim for this code.
90% bill between $4.57 and $63.23.
Top 1% bill above $123.29.
About This Procedure
HCPCS code 99310 was billed by 4K providers across 4.8M claims, totaling $148.5M in Medicaid payments from 2018–2024. This code was used for 2.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.82
Providers Billing
4K
National Spending
$148.5M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99310
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1477027381 | $4.0M |
| 2 | 1942267901 | $3.2M |
| 3 | 1104018423 | $2.9M |
| 4 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $2.8M |
| 5 | 1699157701 | $2.6M |
| 6 | 1689799579 | $2.4M |
| 7 | 1972912228 | $2.1M |
| 8 | 1558318345 | $2.0M |
| 9 | 1841242948 | $1.9M |
| 10 | 1962821223 | $1.9M |
| 11 | 1588741292 | $1.8M |
| 12 | 1316477896 | $1.8M |
| 13 | 1871852343 | $1.7M |
| 14 | 1275576522 | $1.7M |
| 15 | 1992176499 | $1.7M |
| 16 | 1750478160 | $1.6M |
| 17 | 1265546261 | $1.6M |
| 18 | 1114115706 | $1.5M |
| 19 | 1245892066 | $1.4M |
| 20 | 1700894466 | $1.3M |
Showing top 20 of 4K providers billing this code