99468
HCPCS Procedure Code
HCPCS code 99468 is the #900 most-billed Medicaid procedure code, with $61.2M in payments across 87K claims from 2018–2024. The national median cost per claim is $679.18.
Total Paid
$61.2M
0.01% of all spending
Total Claims
87K
Providers
281
Avg Cost/Claim
$704
National Cost Distribution
How much do providers bill per claim for 99468? Based on 281 providers billing this code nationally.
Median
$679.18
Average
$688.30
Std Dev
$235.25
Max
$1,785.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $566.23 and $805.84 per claim for this code.
90% bill between $399.86 and $936.33.
Top 1% bill above $1,510.68.
About This Procedure
HCPCS code 99468 was billed by 281 providers across 87K claims, totaling $61.2M in Medicaid payments from 2018–2024. This code was used for 79K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$679.18
Providers Billing
281
National Spending
$61.2M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99468
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619987302 | $5.7M |
| 2 | 1720185432 | $3.4M |
| 3 | 1811920549 | $2.8M |
| 4 | Neo Natal Associates Plc Grand Rapids, MI · Pediatrics Neonatal-Perinatal Medicine | $2.7M |
| 5 | 1407001654 | $1.7M |
| 6 | 1609958446 | $1.5M |
| 7 | 1912965088 | $1.4M |
| 8 | 1184960924 | $1.3M |
| 9 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $1.2M |
| 10 | 1801869250 | $1.2M |
| 11 | 1225253271 | $1.2M |
| 12 | 1700072964 | $1.0M |
| 13 | 1477188555 | $994K |
| 14 | 1659485761 | $985K |
| 15 | 1376831636 | $962K |
| 16 | 1750351375 | $956K |
| 17 | 1760441844 | $920K |
| 18 | 1518991413 | $888K |
| 19 | 1972695260 | $879K |
| 20 | 1003990318 | $859K |
Showing top 20 of 281 providers billing this code