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#942 of 11K

99462

HCPCS Procedure Code

HCPCS code 99462 is the #942 most-billed Medicaid procedure code, with $56.2M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $27.49.

Total Paid

$56.2M

0.01% of all spending

Total Claims

1.9M

Providers

2K

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 99462? Based on 2K providers billing this code nationally.

Median

$27.49

Average

$28.96

Std Dev

$14.46

Max

$291.52

Percentile Distribution (Cost per Claim)

p10
$16.72
p25
$22.13
Median
$27.49
p75
$34.43
p90
$40.25
p95
$44.54
p99
$70.58

50% of providers bill between $22.13 and $34.43 per claim for this code.

90% bill between $16.72 and $40.25.

Top 1% bill above $70.58.

About This Procedure

HCPCS code 99462 was billed by 2K providers across 1.9M claims, totaling $56.2M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.49

Providers Billing

2K

National Spending

$56.2M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99462

#ProviderTotal Paid
11649377359$3.0M
21083711790$1.4M
3Magella Medical Associates Billing, Inc.

Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine

$1.2M
41528046075$1.1M
51508014895$970K
61609958446$739K
71619987302$722K
81467559179$621K
91487784898$590K
101205928587$542K
111972695260$533K
121629148242$496K
131609915784$483K
141063432383$480K
151558468256$473K
16Texas Children's Physician Group

Houston, TX · Pediatrics

$468K
171245898683$468K
181093843005$461K
191134226848$437K
20The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$426K

Showing top 20 of 2K providers billing this code