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#2475 of 11K

99355

HCPCS Procedure Code

HCPCS code 99355 is the #2,475 most-billed Medicaid procedure code, with $5.5M in payments across 79K claims from 2018–2024. The national median cost per claim is $55.81.

Total Paid

$5.5M

0.00% of all spending

Total Claims

79K

Providers

141

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for 99355? Based on 123 providers billing this code nationally.

Median

$55.81

Average

$63.22

Std Dev

$49.24

Max

$366.77

Percentile Distribution (Cost per Claim)

p10
$12.03
p25
$35.60
Median
$55.81
p75
$83.45
p90
$104.19
p95
$131.04
p99
$278.75

50% of providers bill between $35.60 and $83.45 per claim for this code.

90% bill between $12.03 and $104.19.

Top 1% bill above $278.75.

About This Procedure

HCPCS code 99355 was billed by 141 providers across 79K claims, totaling $5.5M in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.81

Providers Billing

123

National Spending

$5.5M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99355

#ProviderTotal Paid
11235551094$1.1M
2Mountain Comprehensive Care Center, Inc.

Prestonsburg, KY · Counselor, Mental Health

$697K
31861805434$502K
41952780074$284K
51083902191$259K
61346586088$245K
71518302348$199K
81689184913$199K
91083043848$162K
101992974570$136K
111770085722$124K
121023455953$104K
131013456383$101K
141952840860$87K
151336259118$82K
161235220153$65K
171124687132$61K
181841566387$54K
191629560230$52K
201679043285$50K

Showing top 20 of 141 providers billing this code