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#2067 of 11K

99477

HCPCS Procedure Code

HCPCS code 99477 is the #2,067 most-billed Medicaid procedure code, with $9.5M in payments across 33K claims from 2018–2024. The national median cost per claim is $276.41.

Total Paid

$9.5M

0.00% of all spending

Total Claims

33K

Providers

170

Avg Cost/Claim

$284

National Cost Distribution

How much do providers bill per claim for 99477? Based on 168 providers billing this code nationally.

Median

$276.41

Average

$279.66

Std Dev

$93.71

Max

$871.63

Percentile Distribution (Cost per Claim)

p10
$188.17
p25
$228.46
Median
$276.41
p75
$322.27
p90
$378.81
p95
$405.52
p99
$561.46

50% of providers bill between $228.46 and $322.27 per claim for this code.

90% bill between $188.17 and $378.81.

Top 1% bill above $561.46.

About This Procedure

HCPCS code 99477 was billed by 170 providers across 33K claims, totaling $9.5M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$276.41

Providers Billing

168

National Spending

$9.5M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99477

#ProviderTotal Paid
11720185432$806K
21811920549$654K
3Neo Natal Associates Plc

Grand Rapids, MI · Pediatrics Neonatal-Perinatal Medicine

$568K
41598718256$522K
51053352914$511K
61700072964$495K
7William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$403K
81184960924$368K
91457396541$350K
101750351375$282K
111780676650$236K
121932208808$230K
131003990318$211K
141801869250$176K
151205928587$135K
161265726707$133K
171205112786$129K
181407001654$127K
191831137330$125K
201790851921$122K

Showing top 20 of 170 providers billing this code