99442
Telephone E/M by physician, 11-20 minutes
Telephone E/M by physician, 11-20 minutes is the #463 most-billed Medicaid procedure code, with $206.3M in payments across 6.9M claims from 2018–2024. The national median cost per claim is $22.44. Costs vary widely — the 90th percentile is $66.63 per claim, 3.0× the median.
Total Paid
$206.3M
0.02% of all spending
Total Claims
6.9M
Providers
11K
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 99442? Based on 9K providers billing this code nationally.
Median
$22.44
Average
$33.69
Std Dev
$49.24
Max
$959.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.46 and $42.77 per claim for this code.
90% bill between $2.88 and $66.63.
Top 1% bill above $238.09.
About This Procedure
HCPCS code 99442 (Telephone E/M by physician, 11-20 minutes) was billed by 11K providers across 6.9M claims, totaling $206.3M in Medicaid payments from 2018–2024. This code was used for 6.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.44
Providers Billing
9K
National Spending
$206.3M
Avg/Median Ratio
1.50×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99442
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $3.6M |
| 2 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $2.8M |
| 3 | 1366418709 | $2.8M |
| 4 | Parcare Community Health Network Inc Brooklyn, NY · Specialist | $2.6M |
| 5 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $2.2M |
| 6 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $2.1M |
| 7 | 1548208127 | $1.7M |
| 8 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $1.7M |
| 9 | New York Psychotherapy And Counseling Center Jamaica, NY · Community/Behavioral Health | $1.7M |
| 10 | 1720634538 | $1.6M |
| 11 | 1356406136 | $1.6M |
| 12 | 1851668800 | $1.5M |
| 13 | Waianae District Comprehensive Health And Hospital Board, Inc Waianae, HI · Pediatrics | $1.5M |
| 14 | 1659312593 | $1.4M |
| 15 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $1.3M |
| 16 | 1083241392 | $1.3M |
| 17 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $1.3M |
| 18 | Community Health Center Inc Middletown, CT · Counselor, Addiction (Substance Use Disorder) | $1.3M |
| 19 | 1902993132 | $1.2M |
| 20 | Southcentral Foundation Anchorage, AK · Clinic/Center Community Health | $1.2M |
Showing top 20 of 11K providers billing this code