#2683 of 11K

99422

Online digital E/M, 11-20 min

Online digital E/M, 11-20 min is the #2,683 most-billed Medicaid procedure code, with $4.2M in payments across 205K claims from 2018–2024. The national median cost per claim is $17.90. Costs vary widely — the 90th percentile is $44.83 per claim, 2.5× the median.

Total Paid

$4.2M

0.00% of all spending

Total Claims

205K

Providers

658

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 99422? Based on 555 providers billing this code nationally.

Median

$17.90

Average

$22.83

Std Dev

$53.16

Max

$815.82

Percentile Distribution (Cost per Claim)

p10

$1.50

p25

$5.94

Median

$17.90

p75

$24.63

p90

$44.83

p95

$55.79

p99

$87.43

50% of providers bill between $5.94 and $24.63 per claim for this code.

90% bill between $1.50 and $44.83.

Top 1% bill above $87.43.

About This Procedure

HCPCS code 99422 (Online digital E/M, 11-20 min) was billed by 658 providers across 205K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 145K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.90

Providers Billing

555

National Spending

$4.2M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99422

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1134111305	$937K	$55.24	3.1× median	Top 10%
2	1538134077	$214K	$50.50	2.8× median	Top 10%
3	1689647570	$189K	$65.04	3.6× median	Top 10%
4	1043287287	$184K	$22.09	1.2× median	Above Median
5	1609000769	$120K	$21.05	1.2× median	Above Median
6	1336582550	$93K	$41.27	2.3× median	Above 75th
7	1770814170	$81K	$21.75	1.2× median	Above Median
8	1275864928	$74K	$22.22	1.2× median	Above Median
9	1427020676	$60K	$21.25	1.2× median	Above Median
10	1558391730	$55K	$22.18	1.2× median	Above Median
11	1790787919	$52K	$26.54	1.5× median	Above 75th
12	1154352532	$51K	$26.80	1.5× median	Above 75th
13	1649401951	$50K	$21.53	1.2× median	Above Median
14	1437400058	$50K	$20.43	1.1× median	Above Median
15	1073508545	$48K	$22.34	1.2× median	Above Median
16	1881089886	$46K	$60.72	3.4× median	Top 10%
17	1588699698	$46K	$55.53	3.1× median	Top 10%
18	1821074535	$46K	$815.82	45.6× median	Top 1%
19	1174931448	$42K	$44.72	2.5× median	Above 75th
20	1124064894	$39K	$557.97	31.2× median	Top 1%

Showing top 20 of 658 providers billing this code

Related Procedures

99417$33.2M 99429$32.9M 99423Online digital E/M, 21+ min$13.6M 99421Online digital E/M, 5-10 min$6.2M 99412$3.1M

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