99349
HCPCS Procedure Code
HCPCS code 99349 is the #560 most-billed Medicaid procedure code, with $147.8M in payments across 4.2M claims from 2018–2024. The national median cost per claim is $24.29. Costs vary widely — the 90th percentile is $70.55 per claim, 2.9× the median.
Total Paid
$147.8M
0.01% of all spending
Total Claims
4.2M
Providers
4K
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for 99349? Based on 3K providers billing this code nationally.
Median
$24.29
Average
$35.22
Std Dev
$69.34
Max
$2,340.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.03 and $42.84 per claim for this code.
90% bill between $3.06 and $70.55.
Top 1% bill above $172.17.
About This Procedure
HCPCS code 99349 was billed by 4K providers across 4.2M claims, totaling $147.8M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.29
Providers Billing
3K
National Spending
$147.8M
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99349
| # | Provider | Total Paid |
|---|---|---|
| 1 | Community Care Health Network Llc Nashville, TN · Nurse Practitioner | $12.2M |
| 2 | 1538729322 | $5.0M |
| 3 | 1548759392 | $4.8M |
| 4 | 1518048859 | $4.7M |
| 5 | 1578595971 | $3.5M |
| 6 | 1699078766 | $3.1M |
| 7 | 1518309368 | $2.5M |
| 8 | 1821101809 | $2.3M |
| 9 | 1679510499 | $2.2M |
| 10 | 1770689242 | $2.1M |
| 11 | 1508815358 | $2.1M |
| 12 | 1336153295 | $2.1M |
| 13 | 1437675980 | $2.0M |
| 14 | 1144624636 | $1.7M |
| 15 | 1689987828 | $1.7M |
| 16 | 1588741292 | $1.7M |
| 17 | 1124531017 | $1.4M |
| 18 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $1.4M |
| 19 | 1346254281 | $1.3M |
| 20 | 1053356162 | $1.3M |
Showing top 20 of 4K providers billing this code