99343
HCPCS Procedure Code
HCPCS code 99343 is the #974 most-billed Medicaid procedure code, with $52.3M in payments across 323K claims from 2018–2024. The national median cost per claim is $121.04. Costs vary widely — the 90th percentile is $387.76 per claim, 3.2× the median.
Total Paid
$52.3M
0.00% of all spending
Total Claims
323K
Providers
500
Avg Cost/Claim
$162
National Cost Distribution
How much do providers bill per claim for 99343? Based on 410 providers billing this code nationally.
Median
$121.04
Average
$167.03
Std Dev
$161.10
Max
$1,779.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.12 and $290.76 per claim for this code.
90% bill between $7.63 and $387.76.
Top 1% bill above $400.00.
About This Procedure
HCPCS code 99343 was billed by 500 providers across 323K claims, totaling $52.3M in Medicaid payments from 2018–2024. This code was used for 245K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$121.04
Providers Billing
410
National Spending
$52.3M
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99343
| # | Provider | Total Paid |
|---|---|---|
| 1 | Community Care Health Network Llc Nashville, TN · Nurse Practitioner | $14.4M |
| 2 | 1689716797 | $9.7M |
| 3 | 1689158487 | $4.1M |
| 4 | 1336153295 | $2.8M |
| 5 | 1932409190 | $2.6M |
| 6 | 1750845863 | $1.9M |
| 7 | 1891044657 | $1.6M |
| 8 | 1538441761 | $1.2M |
| 9 | 1639433063 | $834K |
| 10 | 1508815358 | $642K |
| 11 | 1558917443 | $607K |
| 12 | 1952875783 | $565K |
| 13 | 1770904898 | $395K |
| 14 | 1255958310 | $373K |
| 15 | 1285628875 | $337K |
| 16 | 1376818435 | $327K |
| 17 | 1366768160 | $301K |
| 18 | 1649596982 | $274K |
| 19 | 1649780933 | $273K |
| 20 | 1982143582 | $244K |
Showing top 20 of 500 providers billing this code