99456
HCPCS Procedure Code
HCPCS code 99456 is the #1,266 most-billed Medicaid procedure code, with $30.3M in payments across 193K claims from 2018–2024. The national median cost per claim is $151.24.
Total Paid
$30.3M
0.00% of all spending
Total Claims
193K
Providers
34
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for 99456? Based on 32 providers billing this code nationally.
Median
$151.24
Average
$140.16
Std Dev
$41.70
Max
$175.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $142.96 and $163.68 per claim for this code.
90% bill between $102.33 and $168.36.
Top 1% bill above $174.29.
About This Procedure
HCPCS code 99456 was billed by 34 providers across 193K claims, totaling $30.3M in Medicaid payments from 2018–2024. This code was used for 191K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$151.24
Providers Billing
32
National Spending
$30.3M
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99456
| # | Provider | Total Paid |
|---|---|---|
| 1 | Stavros Center For Independent Living, Inc. Amherst, MA · Case Management | $4.8M |
| 2 | Tempus Unlimited, Inc. Stoughton, MA · Voluntary or Charitable | $4.1M |
| 3 | 1942424692 | $3.7M |
| 4 | 1003936774 | $2.5M |
| 5 | 1568593481 | $1.7M |
| 6 | 1649390428 | $1.4M |
| 7 | 1619092871 | $1.3M |
| 8 | 1386789840 | $1.3M |
| 9 | 1629195094 | $1.2M |
| 10 | 1700913514 | $1.1M |
| 11 | 1447306089 | $1.0M |
| 12 | 1760521744 | $994K |
| 13 | 1750414918 | $862K |
| 14 | 1124238324 | $772K |
| 15 | 1144355652 | $755K |
| 16 | 1568771004 | $748K |
| 17 | 1770602278 | $720K |
| 18 | 1831224039 | $471K |
| 19 | 1013041805 | $162K |
| 20 | 1639206360 | $125K |
Showing top 20 of 34 providers billing this code