99403
HCPCS Procedure Code
HCPCS code 99403 is the #1,865 most-billed Medicaid procedure code, with $12.5M in payments across 381K claims from 2018–2024. The national median cost per claim is $47.11. Costs vary widely — the 90th percentile is $130.93 per claim, 2.8× the median.
Total Paid
$12.5M
0.00% of all spending
Total Claims
381K
Providers
352
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for 99403? Based on 300 providers billing this code nationally.
Median
$47.11
Average
$57.72
Std Dev
$48.61
Max
$334.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.71 and $77.06 per claim for this code.
90% bill between $3.61 and $130.93.
Top 1% bill above $183.92.
About This Procedure
HCPCS code 99403 was billed by 352 providers across 381K claims, totaling $12.5M in Medicaid payments from 2018–2024. This code was used for 165K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.11
Providers Billing
300
National Spending
$12.5M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99403
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720171895 | $2.7M |
| 2 | 1609849660 | $703K |
| 3 | 1376502088 | $696K |
| 4 | 1821597444 | $549K |
| 5 | 1487619714 | $476K |
| 6 | 1386751907 | $422K |
| 7 | 1083687719 | $404K |
| 8 | 1780603399 | $308K |
| 9 | 1174612592 | $293K |
| 10 | 1841268216 | $290K |
| 11 | 1285600213 | $246K |
| 12 | 1376675470 | $213K |
| 13 | 1528034170 | $197K |
| 14 | 1932177409 | $172K |
| 15 | 1083126155 | $157K |
| 16 | 1659934982 | $152K |
| 17 | 1104391598 | $152K |
| 18 | 1902855026 | $150K |
| 19 | 1518093491 | $147K |
| 20 | 1568428837 | $140K |
Showing top 20 of 352 providers billing this code