99354
HCPCS Procedure Code
HCPCS code 99354 is the #959 most-billed Medicaid procedure code, with $54.1M in payments across 987K claims from 2018–2024. The national median cost per claim is $54.96.
Total Paid
$54.1M
0.00% of all spending
Total Claims
987K
Providers
1K
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for 99354? Based on 1K providers billing this code nationally.
Median
$54.96
Average
$53.60
Std Dev
$31.92
Max
$299.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.33 and $71.00 per claim for this code.
90% bill between $8.32 and $88.53.
Top 1% bill above $142.95.
About This Procedure
HCPCS code 99354 was billed by 1K providers across 987K claims, totaling $54.1M in Medicaid payments from 2018–2024. This code was used for 536K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.96
Providers Billing
1K
National Spending
$54.1M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99354
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992974570 | $3.7M |
| 2 | Ohioguidestone Berea, OH · Community/Behavioral Health | $1.9M |
| 3 | 1235551094 | $1.8M |
| 4 | Mountain Comprehensive Care Center, Inc. Prestonsburg, KY · Counselor, Mental Health | $1.7M |
| 5 | 1609869726 | $1.5M |
| 6 | 1689184913 | $1.3M |
| 7 | 1790872562 | $1.2M |
| 8 | Nystrom & Associates, Ltd New Brighton, MN · Marriage & Family Therapist | $1.2M |
| 9 | 1083902191 | $1.1M |
| 10 | Wasatch Behavioral Health Special Service District Provo, UT · Community/Behavioral Health | $1.0M |
| 11 | 1417324989 | $861K |
| 12 | 1932590338 | $833K |
| 13 | 1952780074 | $764K |
| 14 | Seven Counties Services, Inc. Louisville, KY · Counselor | $731K |
| 15 | 1518048859 | $710K |
| 16 | 1427229483 | $691K |
| 17 | Integrated Services For Behavioral Health Nelsonville, OH · Social Worker, Clinical | $660K |
| 18 | 1841566387 | $635K |
| 19 | 1306078514 | $634K |
| 20 | 1700315413 | $586K |
Showing top 20 of 1K providers billing this code