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#2899 of 11K

99367

HCPCS Procedure Code

HCPCS code 99367 is the #2,899 most-billed Medicaid procedure code, with $3.1M in payments across 87K claims from 2018–2024. The national median cost per claim is $35.65. Costs vary widely — the 90th percentile is $74.55 per claim, 2.1× the median.

Total Paid

$3.1M

0.00% of all spending

Total Claims

87K

Providers

191

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 99367? Based on 167 providers billing this code nationally.

Median

$35.65

Average

$56.29

Std Dev

$166.48

Max

$1,549.39

Percentile Distribution (Cost per Claim)

p10
$10.52
p25
$17.61
Median
$35.65
p75
$43.97
p90
$74.55
p95
$80.05
p99
$968.31

50% of providers bill between $17.61 and $43.97 per claim for this code.

90% bill between $10.52 and $74.55.

Top 1% bill above $968.31.

About This Procedure

HCPCS code 99367 was billed by 191 providers across 87K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 63K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.65

Providers Billing

167

National Spending

$3.1M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99367

#ProviderTotal Paid
11013476787$307K
21760596480$270K
3Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$175K
41194047563$106K
51871800177$99K
61619995370$99K
7Kid Success Inc.

Conway, AR · Clinic/Center Rehabilitation

$89K
8Full Potential

Little Rock, AR · Clinic/Center Primary Care

$84K
9Santa Barbara County Auditor

Santa Barbara, CA · Psychologist

$83K
10Pathfinder Inc.

Jacksonville, AR · Day Training Developmentally Disabled Services

$74K
111629136098$72K
121831200310$72K
131427168889$67K
141306949482$62K
151649225632$57K
161043260474$53K
171629361217$50K
181376709535$47K
191447306113$45K
201063616613$44K

Showing top 20 of 191 providers billing this code