99443
Telephone E/M by physician, 21-30 min
Telephone E/M by physician, 21-30 min is the #563 most-billed Medicaid procedure code, with $145.6M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $32.55. Costs vary widely — the 90th percentile is $95.27 per claim, 2.9× the median.
Total Paid
$145.6M
0.01% of all spending
Total Claims
2.6M
Providers
6K
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for 99443? Based on 5K providers billing this code nationally.
Median
$32.55
Average
$49.26
Std Dev
$72.52
Max
$915.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.77 and $61.30 per claim for this code.
90% bill between $5.37 and $95.27.
Top 1% bill above $494.32.
About This Procedure
HCPCS code 99443 (Telephone E/M by physician, 21-30 min) was billed by 6K providers across 2.6M claims, totaling $145.6M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.55
Providers Billing
5K
National Spending
$145.6M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99443
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $20.6M |
| 2 | 1366475998 | $3.0M |
| 3 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $2.7M |
| 4 | 1366418709 | $2.0M |
| 5 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $2.0M |
| 6 | New York City Health And Hospitals Corporation New York, NY · Internal Medicine | $1.8M |
| 7 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $1.7M |
| 8 | 1447283072 | $1.7M |
| 9 | 1992738520 | $1.7M |
| 10 | 1417977877 | $1.5M |
| 11 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $1.5M |
| 12 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $1.5M |
| 13 | County Of Solano Fairfield, CA · Public Health or Welfare | $1.3M |
| 14 | 1861425282 | $1.2M |
| 15 | 1720634538 | $1.1M |
| 16 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $1.1M |
| 17 | Montefiore Medical Center Bronx, NY · Anesthesiology | $1.1M |
| 18 | 1649203068 | $1.0M |
| 19 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $996K |
| 20 | 1497796353 | $928K |
Showing top 20 of 6K providers billing this code