99401
HCPCS Procedure Code
HCPCS code 99401 is the #623 most-billed Medicaid procedure code, with $122.5M in payments across 7.8M claims from 2018–2024. The national median cost per claim is $16.53.
Total Paid
$122.5M
0.01% of all spending
Total Claims
7.8M
Providers
6K
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 99401? Based on 5K providers billing this code nationally.
Median
$16.53
Average
$17.13
Std Dev
$14.58
Max
$245.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.86 and $24.54 per claim for this code.
90% bill between $1.21 and $30.46.
Top 1% bill above $63.43.
About This Procedure
HCPCS code 99401 was billed by 6K providers across 7.8M claims, totaling $122.5M in Medicaid payments from 2018–2024. This code was used for 6.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.53
Providers Billing
5K
National Spending
$122.5M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99401
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114264660 | $2.9M |
| 2 | New Horizon Counseling Center Inc South Ozone Park, NY · Clinic/Center Mental Health (Including Community Mental Health Center) | $2.9M |
| 3 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $2.9M |
| 4 | 1780819748 | $1.9M |
| 5 | 1790930618 | $1.5M |
| 6 | 1427125269 | $1.5M |
| 7 | Nys Office Of Mental Health Orangeburg, NY · Clinic/Center, Adolescent and Children Mental Health | $1.4M |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1.4M |
| 9 | Sun River Health Inc. Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC) | $1.2M |
| 10 | 1306078514 | $1.2M |
| 11 | 1821597444 | $938K |
| 12 | 1417061011 | $862K |
| 13 | 1780619064 | $810K |
| 14 | 1457640245 | $802K |
| 15 | 1730246968 | $757K |
| 16 | 1104804459 | $743K |
| 17 | 1821454505 | $706K |
| 18 | Behavioral Health Services North Inc. Morrisonville, NY · Clinic/Center Mental Health (Including Community Mental Health Center) | $691K |
| 19 | 1043346745 | $663K |
| 20 | 1083623409 | $595K |
Showing top 20 of 6K providers billing this code