99359
HCPCS Procedure Code
HCPCS code 99359 is the #4,726 most-billed Medicaid procedure code, with $431K in payments across 31K claims from 2018–2024. The national median cost per claim is $10.39. Costs vary widely — the 90th percentile is $44.80 per claim, 4.3× the median.
Total Paid
$431K
0.00% of all spending
Total Claims
31K
Providers
39
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 99359? Based on 19 providers billing this code nationally.
Median
$10.39
Average
$16.95
Std Dev
$16.04
Max
$47.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.75 and $28.76 per claim for this code.
90% bill between $2.65 and $44.80.
Top 1% bill above $46.95.
About This Procedure
HCPCS code 99359 was billed by 39 providers across 31K claims, totaling $431K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.39
Providers Billing
19
National Spending
$431K
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99359
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114483864 | $381K |
| 2 | 1235383977 | $10K |
| 3 | 1780098228 | $8K |
| 4 | 1417409905 | $8K |
| 5 | Mainegeneral Medical Center Augusta, ME · General Acute Care Hospital | $7K |
| 6 | 1477027381 | $4K |
| 7 | 1467709451 | $3K |
| 8 | 1366575755 | $2K |
| 9 | 1902149776 | $2K |
| 10 | 1689604142 | $2K |
| 11 | 1407483175 | $1K |
| 12 | 1376598714 | $591 |
| 13 | 1063468627 | $476 |
| 14 | 1801325634 | $382 |
| 15 | Viaquest Psychiatric & Behavioral Solutions Llc Dublin, OH · Community/Behavioral Health | $319 |
| 16 | 1023478641 | $302 |
| 17 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $147 |
| 18 | 1053347369 | $42 |
| 19 | 1023151735 | $8 |
| 20 | 1003282567 | $0 |
Showing top 20 of 39 providers billing this code