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#1156 of 11K

99406

HCPCS Procedure Code

HCPCS code 99406 is the #1,156 most-billed Medicaid procedure code, with $36.4M in payments across 5.0M claims from 2018–2024. The national median cost per claim is $6.53. Costs vary widely — the 90th percentile is $13.17 per claim, 2.0× the median.

Total Paid

$36.4M

0.00% of all spending

Total Claims

5.0M

Providers

7K

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 99406? Based on 6K providers billing this code nationally.

Median

$6.53

Average

$7.79

Std Dev

$10.82

Max

$453.33

Percentile Distribution (Cost per Claim)

p10
$0.94
p25
$3.58
Median
$6.53
p75
$9.40
p90
$13.17
p95
$16.52
p99
$43.97

50% of providers bill between $3.58 and $9.40 per claim for this code.

90% bill between $0.94 and $13.17.

Top 1% bill above $43.97.

About This Procedure

HCPCS code 99406 was billed by 7K providers across 5.0M claims, totaling $36.4M in Medicaid payments from 2018–2024. This code was used for 4.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.53

Providers Billing

6K

National Spending

$36.4M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99406

#ProviderTotal Paid
1Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$3.8M
2Marillac Clinic Inc.

Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC)

$1.2M
31124648316$464K
41982764908$453K
51700251626$434K
61306961636$314K
71811405616$272K
81730377342$244K
91740535368$237K
101285013896$227K
111568994259$218K
121013937549$211K
131457729741$205K
141093718728$198K
151811226749$195K
161720631708$191K
171184935553$186K
181396749941$185K
19Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$178K
201952404188$165K

Showing top 20 of 7K providers billing this code