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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235551094 | $1.1M |
| 2 | Mountain Comprehensive Care Center, Inc. Prestonsburg, KY · Counselor, Mental Health | $697K |
| 3 | 1861805434 | $502K |
| 4 | 1952780074 | $284K |
| 5 | 1083902191 | $259K |
| 6 | 1346586088 | $245K |
| 7 | 1518302348 | $199K |
| 8 | 1689184913 | $199K |
| 9 | 1083043848 | $162K |
| 10 | 1992974570 | $136K |
| 11 | 1770085722 | $124K |
| 12 | 1023455953 | $104K |
| 13 | 1013456383 | $101K |
| 14 | 1952840860 | $87K |
| 15 | 1336259118 | $82K |
| 16 | 1235220153 | $65K |
| 17 | 1124687132 | $61K |
| 18 | 1841566387 | $54K |
| 19 | 1629560230 | $52K |
| 20 | 1679043285 | $50K |
Showing top 20 of 141 providers billing this code