99421
Online digital E/M, 5-10 min
Online digital E/M, 5-10 min is the #2,384 most-billed Medicaid procedure code, with $6.2M in payments across 267K claims from 2018–2024. The national median cost per claim is $9.42. Costs vary widely — the 90th percentile is $19.00 per claim, 2.0× the median.
Total Paid
$6.2M
0.00% of all spending
Total Claims
267K
Providers
545
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 99421? Based on 456 providers billing this code nationally.
Median
$9.42
Average
$14.74
Std Dev
$53.63
Max
$809.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.51 and $14.37 per claim for this code.
90% bill between $0.77 and $19.00.
Top 1% bill above $81.35.
About This Procedure
HCPCS code 99421 (Online digital E/M, 5-10 min) was billed by 545 providers across 267K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 206K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.42
Providers Billing
456
National Spending
$6.2M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99421
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669792990 | $2.0M |
| 2 | 1417263922 | $1.9M |
| 3 | 1821074535 | $248K |
| 4 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $224K |
| 5 | 1043287287 | $121K |
| 6 | 1730626359 | $94K |
| 7 | 1295861557 | $82K |
| 8 | 1497992770 | $71K |
| 9 | 1174931448 | $57K |
| 10 | 1720376304 | $50K |
| 11 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $47K |
| 12 | 1972797256 | $46K |
| 13 | 1912975251 | $42K |
| 14 | 1881714384 | $42K |
| 15 | 1992178115 | $42K |
| 16 | 1609930809 | $41K |
| 17 | 1043982671 | $38K |
| 18 | 1164679494 | $37K |
| 19 | Southern California Permanente Medical Group San Diego, CA · Health Maintenance Organization | $35K |
| 20 | 1447639265 | $31K |
Showing top 20 of 545 providers billing this code