99451
HCPCS Procedure Code
HCPCS code 99451 is the #1,795 most-billed Medicaid procedure code, with $13.7M in payments across 433K claims from 2018–2024. The national median cost per claim is $20.05.
Total Paid
$13.7M
0.00% of all spending
Total Claims
433K
Providers
243
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for 99451? Based on 218 providers billing this code nationally.
Median
$20.05
Average
$25.49
Std Dev
$49.74
Max
$682.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.23 and $31.16 per claim for this code.
90% bill between $1.49 and $38.73.
Top 1% bill above $146.06.
About This Procedure
HCPCS code 99451 was billed by 243 providers across 433K claims, totaling $13.7M in Medicaid payments from 2018–2024. This code was used for 408K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.05
Providers Billing
218
National Spending
$13.7M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99451
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982269031 | $7.1M |
| 2 | 1316584709 | $1.4M |
| 3 | 1073053757 | $777K |
| 4 | 1295781219 | $747K |
| 5 | 1255762340 | $456K |
| 6 | 1578722369 | $224K |
| 7 | 1124032461 | $216K |
| 8 | 1689996100 | $185K |
| 9 | 1548765258 | $176K |
| 10 | 1336187475 | $167K |
| 11 | 1922074434 | $147K |
| 12 | Alameda Health System Oakland, CA · General Acute Care Hospital | $121K |
| 13 | 1932560729 | $112K |
| 14 | 1023635299 | $112K |
| 15 | Montefiore Medical Center Bronx, NY · Anesthesiology | $97K |
| 16 | 1316054737 | $88K |
| 17 | 1326338237 | $87K |
| 18 | 1376532853 | $86K |
| 19 | 1235671660 | $86K |
| 20 | 1265982375 | $77K |
Showing top 20 of 243 providers billing this code