99480
Subsequent intensive care, very low birth weight infant
Subsequent intensive care, very low birth weight infant is the #397 most-billed Medicaid procedure code, with $273.2M in payments across 2.7M claims from 2018–2024. The national median cost per claim is $98.15.
Total Paid
$273.2M
0.02% of all spending
Total Claims
2.7M
Providers
835
Avg Cost/Claim
$103
National Cost Distribution
How much do providers bill per claim for 99480? Based on 834 providers billing this code nationally.
Median
$98.15
Average
$100.90
Std Dev
$34.03
Max
$615.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $79.30 and $114.40 per claim for this code.
90% bill between $73.21 and $128.75.
Top 1% bill above $189.65.
About This Procedure
HCPCS code 99480 (Subsequent intensive care, very low birth weight infant) was billed by 835 providers across 2.7M claims, totaling $273.2M in Medicaid payments from 2018–2024. This code was used for 804K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$98.15
Providers Billing
834
National Spending
$273.2M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99480
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649377359 | $10.9M |
| 2 | Magella Medical Associates Billing, Inc. Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine | $8.4M |
| 3 | 1407957152 | $6.8M |
| 4 | 1457396541 | $6.0M |
| 5 | 1992802607 | $5.9M |
| 6 | 1467559179 | $4.9M |
| 7 | 1497852107 | $4.9M |
| 8 | 1225085715 | $4.8M |
| 9 | 1780676650 | $4.5M |
| 10 | Neo Natal Associates Plc Grand Rapids, MI · Pediatrics Neonatal-Perinatal Medicine | $4.1M |
| 11 | 1144327859 | $4.0M |
| 12 | 1720185432 | $3.7M |
| 13 | 1750351375 | $3.6M |
| 14 | 1992809412 | $3.4M |
| 15 | 1376831636 | $3.3M |
| 16 | 1235236944 | $3.3M |
| 17 | 1477554814 | $3.1M |
| 18 | 1255354130 | $3.1M |
| 19 | 1558468256 | $3.1M |
| 20 | 1922193911 | $2.9M |
Showing top 20 of 835 providers billing this code