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#2519 of 11K

99358

HCPCS Procedure Code

HCPCS code 99358 is the #2,519 most-billed Medicaid procedure code, with $5.2M in payments across 261K claims from 2018–2024. The national median cost per claim is $14.34. Costs vary widely — the 90th percentile is $63.31 per claim, 4.4× the median.

Total Paid

$5.2M

0.00% of all spending

Total Claims

261K

Providers

656

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 99358? Based on 521 providers billing this code nationally.

Median

$14.34

Average

$26.06

Std Dev

$34.83

Max

$469.08

Percentile Distribution (Cost per Claim)

p10
$1.49
p25
$5.06
Median
$14.34
p75
$36.99
p90
$63.31
p95
$90.23
p99
$130.38

50% of providers bill between $5.06 and $36.99 per claim for this code.

90% bill between $1.49 and $63.31.

Top 1% bill above $130.38.

About This Procedure

HCPCS code 99358 was billed by 656 providers across 261K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 189K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.34

Providers Billing

521

National Spending

$5.2M

Avg/Median Ratio

1.82×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99358

#ProviderTotal Paid
11114483864$436K
21548765258$221K
31235187311$218K
41154727147$182K
51235107566$171K
61376709535$140K
7Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$134K
81033353941$108K
91427579192$105K
101821695081$105K
111477027381$96K
121942423579$94K
131831443787$92K
141396259149$86K
151528546108$82K
161265833396$76K
171518048859$74K
181902149776$67K
191932560729$66K
201053628511$66K

Showing top 20 of 656 providers billing this code