99503
HCPCS Procedure Code
HCPCS code 99503 is the #3,674 most-billed Medicaid procedure code, with $1.3M in payments across 14K claims from 2018–2024. The national median cost per claim is $79.36. Costs vary widely — the 90th percentile is $158.90 per claim, 2.0× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
14K
Providers
10
Avg Cost/Claim
$99
National Cost Distribution
How much do providers bill per claim for 99503? Based on 8 providers billing this code nationally.
Median
$79.36
Average
$86.68
Std Dev
$55.64
Max
$175.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $53.37 and $112.52 per claim for this code.
90% bill between $36.67 and $158.90.
Top 1% bill above $173.39.
About This Procedure
HCPCS code 99503 was billed by 10 providers across 14K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$79.36
Providers Billing
8
National Spending
$1.3M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 99503
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1316059413 | $822K |
| 2 | 1427086073 | $220K |
| 3 | 1184946139 | $143K |
| 4 | 1972972867 | $128K |
| 5 | 1093711996 | $18K |
| 6 | 1073680799 | $9K |
| 7 | 1477079663 | $9K |
| 8 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $386 |
| 9 | 1275563066 | $0 |
| 10 | 1053654434 | $0 |
Showing top 10 of 10 providers billing this code