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#3395 of 11K

99424

HCPCS Procedure Code

HCPCS code 99424 is the #3,395 most-billed Medicaid procedure code, with $1.8M in payments across 75K claims from 2018–2024. The national median cost per claim is $15.58. Costs vary widely — the 90th percentile is $66.28 per claim, 4.3× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

75K

Providers

114

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 99424? Based on 94 providers billing this code nationally.

Median

$15.58

Average

$24.11

Std Dev

$28.64

Max

$193.01

Percentile Distribution (Cost per Claim)

p10
$1.06
p25
$6.04
Median
$15.58
p75
$29.45
p90
$66.28
p95
$76.64
p99
$93.63

50% of providers bill between $6.04 and $29.45 per claim for this code.

90% bill between $1.06 and $66.28.

Top 1% bill above $93.63.

About This Procedure

HCPCS code 99424 was billed by 114 providers across 75K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 73K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.58

Providers Billing

94

National Spending

$1.8M

Avg/Median Ratio

1.55×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 99424

#ProviderTotal Paid
11326384090$759K
21073131561$153K
31811544174$143K
41992007819$117K
51508940081$95K
61932457546$43K
71306379482$41K
81356925960$37K
91811063761$37K
101659736957$25K
111508266347$22K
121538642996$17K
131548765258$16K
141407483175$16K
151447526157$14K
161003284597$13K
171366800443$13K
181851628390$13K
191467493049$12K
201407405855$11K

Showing top 20 of 114 providers billing this code