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#2117 of 11K

99606

HCPCS Procedure Code

HCPCS code 99606 is the #2,117 most-billed Medicaid procedure code, with $8.8M in payments across 266K claims from 2018–2024. The national median cost per claim is $29.91.

Total Paid

$8.8M

0.00% of all spending

Total Claims

266K

Providers

432

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 99606? Based on 351 providers billing this code nationally.

Median

$29.91

Average

$37.29

Std Dev

$46.73

Max

$425.97

Percentile Distribution (Cost per Claim)

p10
$5.26
p25
$23.58
Median
$29.91
p75
$34.83
p90
$43.00
p95
$164.57
p99
$192.12

50% of providers bill between $23.58 and $34.83 per claim for this code.

90% bill between $5.26 and $43.00.

Top 1% bill above $192.12.

About This Procedure

HCPCS code 99606 was billed by 432 providers across 266K claims, totaling $8.8M in Medicaid payments from 2018–2024. This code was used for 225K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.91

Providers Billing

351

National Spending

$8.8M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99606

#ProviderTotal Paid
1Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$1.0M
21790045292$919K
3Alameda County Behavioral Health Care

Oakland, CA · Community/Behavioral Health

$657K
4Phs Indian Hospital

Red Lake, MN · General Acute Care Hospital

$408K
51598117210$376K
6Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$364K
7Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$251K
81093921439$225K
91780605451$200K
101578595674$155K
111871525972$139K
121831122241$116K
13County Of Kern

Bakersfield, CA · Clinic/Center, Adult Mental Health

$106K
141376240978$106K
151093086837$96K
161427176569$94K
171154182335$88K
181952307530$86K
191346755576$85K
201992738520$84K

Showing top 20 of 432 providers billing this code