Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1280 of 11K

99384

Preventive visit, new patient, adolescent (12-17 yr)

Preventive visit, new patient, adolescent (12-17 yr) is the #1,280 most-billed Medicaid procedure code, with $29.5M in payments across 443K claims from 2018–2024. The national median cost per claim is $83.63.

Total Paid

$29.5M

0.00% of all spending

Total Claims

443K

Providers

3K

Avg Cost/Claim

$67

National Cost Distribution

How much do providers bill per claim for 99384? Based on 2K providers billing this code nationally.

Median

$83.63

Average

$82.49

Std Dev

$52.59

Max

$640.29

Percentile Distribution (Cost per Claim)

p10
$12.04
p25
$48.60
Median
$83.63
p75
$104.96
p90
$138.94
p95
$171.46
p99
$243.13

50% of providers bill between $48.60 and $104.96 per claim for this code.

90% bill between $12.04 and $138.94.

Top 1% bill above $243.13.

About This Procedure

HCPCS code 99384 (Preventive visit, new patient, adolescent (12-17 yr)) was billed by 3K providers across 443K claims, totaling $29.5M in Medicaid payments from 2018–2024. This code was used for 398K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$83.63

Providers Billing

2K

National Spending

$29.5M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99384

#ProviderTotal Paid
11790839405$2.0M
21710073390$1.5M
3Los Angeles Unified School District

Los Angeles, CA · Social Worker School

$765K
41124078019$437K
5Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX · Clinic/Center, Multi-Specialty

$404K
61699812099$393K
71902099104$380K
8El Centro Del Barrio, Inc.

San Antonio, TX · Clinic/Center, Federally Qualified Health Center (FQHC)

$378K
9Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$370K
10Topcare Medical Group Inc

Dallas, TX · Pediatrics

$351K
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$312K
12The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$288K
13Legacy Community Health Services, Inc

Houston, TX · Pediatrics

$263K
141881742575$219K
15Community Care Health Network Llc

Nashville, TN · Nurse Practitioner

$217K
161821288606$212K
171437161437$196K
181356406136$184K
191003829441$183K
201720082571$182K

Showing top 20 of 3K providers billing this code