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#1571 of 11K

99341

HCPCS Procedure Code

HCPCS code 99341 is the #1,571 most-billed Medicaid procedure code, with $18.8M in payments across 102K claims from 2018–2024. The national median cost per claim is $20.60. Costs vary widely — the 90th percentile is $150.00 per claim, 7.3× the median.

Total Paid

$18.8M

0.00% of all spending

Total Claims

102K

Providers

229

Avg Cost/Claim

$185

National Cost Distribution

How much do providers bill per claim for 99341? Based on 179 providers billing this code nationally.

Median

$20.60

Average

$74.31

Std Dev

$155.76

Max

$1,074.24

Percentile Distribution (Cost per Claim)

p10
$1.93
p25
$6.26
Median
$20.60
p75
$61.44
p90
$150.00
p95
$369.84
p99
$768.00

50% of providers bill between $6.26 and $61.44 per claim for this code.

90% bill between $1.93 and $150.00.

Top 1% bill above $768.00.

About This Procedure

HCPCS code 99341 was billed by 229 providers across 102K claims, totaling $18.8M in Medicaid payments from 2018–2024. This code was used for 73K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.60

Providers Billing

179

National Spending

$18.8M

Avg/Median Ratio

3.61×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 99341

#ProviderTotal Paid
11912270257$4.3M
21043566334$2.9M
31275576522$2.9M
41528556958$1.4M
5Mount Prospect Academy Inc.

Plymouth, NH · Residential Treatment Facility Emotionally Disturbed Children

$1.2M
61780736504$1.1M
71134304447$944K
81689716797$939K
91194027672$550K
101154594034$541K
111285720896$506K
121114167228$430K
131609348465$242K
141336522143$133K
151588100986$74K
161346433307$67K
171902007677$51K
181700359700$45K
191902099104$41K
201881952208$38K

Showing top 20 of 229 providers billing this code