Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › Billing code 99212

99212

Office or other outpatient visit for the evaluation and management of an established patient, straightforward

Medicaid paid $3.85B on code 99212 from 2018 through 2024, to 48,696 providers — the #51 code in the file by dollars.

28Total paid$3.85B
24GClaims92,299,154
Paid per claim line$41.69
33Providers billing it48,696
Box 32 · Location

Where 99212 is billed

  1. NYNew York
    $834M
  2. OKOklahoma
    $623M
  3. CACalifornia
    $250M
  4. MAMassachusetts
    $203M
  5. OHOhio
    $159M
  6. TXTexas
    $127M
  7. NJNew Jersey
    $112M
  8. NMNew Mexico
    $104M
  9. LALouisiana
    $93M
  10. KYKentucky
    $88M
  11. COColorado
    $82M
  12. DCDistrict of Columbia
    $76M

The largest of 54 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing 99212

#ProviderLocationClaimsPaid on 99212
1 Chickasaw Nation Division of Health Ada, OK 291,154 $161.39M
2 Choctaw Nation of Oklahoma Talihina, OK 145,540 $79.20M
3 Central Oklahoma American Indian Health Council, INC. Oklahoma City, OK 128,913 $77.97M
4 Children's Hospital Washington, DC 264,410 $58.07M
5 DHHS, PHS, Naihs, Shiprock Hospital Shiprock, NM 121,348 $49.66M
6 Choctaw Nation of Oklahoma Durant, OK 74,408 $40.29M
7 Choctaw Nation of Oklahoma Mcalester, OK 68,582 $37.98M
8 City Medical of Upper East Side, PLLC New York, NY 324,553 $33.15M
9 Chickasaw Nation Division of Health Ardmore, OK 54,409 $30.54M
10 Choctaw Nation of Oklahoma Poteau, OK 55,685 $30.31M
11 Umass Memorial Medical Center, INC. Worcester, MA 206,128 $29.23M
12 Beth Israel Deaconess Medical Center, INC. Boston, MA 183,753 $25.76M
13 Dana-Farber Cancer Institute, INC. Boston, MA 123,385 $25.44M
14 Montefiore Medical Center Bronx, NY 166,900 $25.36M
15 Choctaw Nation of Oklahoma Idabel, OK 47,960 $25.32M
16 Rector & Visitors of the University of Virginia Charlottesville, VA 113,575 $23.79M
17 University Hospital Newark, NJ 231,979 $22.69M
18 Kickapoo Tribal Health Center Mcloud, OK 33,745 $19.87M
19 New York Psychotherapy and Counseling Center Jamaica, NY 172,270 $19.68M
20 Chickasaw Nation Division of Health Tishomingo, OK 32,552 $18.00M
21 Chickasaw Nation Division of Health Purcell, OK 30,551 $17.77M
22 Medical University Hospital Authority Charleston, SC 372,199 $17.58M
23 Children's Hospital Medical Center Cincinnati, OH 163,466 $17.42M
24 Alabama Department of Rehabilitation Services Montgomery, AL 9,328 $17.12M
25 Sun River Health INC. Peekskill, NY 204,283 $16.81M
26 Citizen Potawatomi Nation Shawnee, OK 26,140 $15.67M
27 Holyoke Medical Center, INC. Holyoke, MA 100,828 $15.51M
28 Dallas County Hospital District Dallas, TX 205,236 $14.92M
29 Children's Hospital of Wisconsin, INC. Milwaukee, WI 143,014 $14.91M
30 Bronxcare Health System Bronx, NY 134,034 $14.55M
31 Nationwide Children's Hospital Columbus, OH 187,258 $13.81M
32 Charles B. Wang Community Health Center, INC. New York, NY 217,721 $13.80M
33 Uch-Mhs Colorado Springs, CO 116,619 $13.74M
34 Baystate Medical Center INC Springfield, MA 95,197 $13.28M
35 Seattle Children's Hospital Seattle, WA 82,210 $13.15M
36 Adena Health System Chillicothe, OH 140,877 $12.95M
37 The Health and Hospital Corporation of Marion County Indianapolis, IN 143,304 $12.86M
38 New York Network Ipa INC Brooklyn, NY 218,150 $12.74M
39 Ahava Medical and Rehabilitation Center, LLC Brooklyn, NY 104,713 $12.50M
40 The New York and Presbyterian Hospital New York, NY 65,594 $12.47M
41 Ben Archer Health Center Hatch, NM 70,259 $12.02M
42 Careconnect Health, INC. Richland, GA 109,760 $11.98M
43 Boston Medical Center Corporation Boston, MA 96,271 $11.15M
44 Driscoll Childrens Hospital Corpus Christi, TX 60,111 $10.83M
45 Clinton Indian Health Center Clinton, OK 18,531 $10.76M
46 Childrens Hospital of the Kings Daughters INC Norfolk, VA 52,600 $10.52M
47 Licking Memorial Hospital Newark, OH 89,559 $10.45M
48 DHHS, PHS, Naihs, Shiprock Hospital Teecnospos, AZ 21,831 $10.35M
49 Clallam County Public Hospital District 2 Port Angeles, WA 63,254 $10.08M
50 The Brookdale Hospital Medical Center Brooklyn, NY 63,550 $9.99M
51 Brockton Hospital, INC. Brockton, MA 68,587 $9.82M
52 Medical Associates of Ebnhc East Boston, MA 107,971 $9.80M
53 Nyu Langone Hospitals Brooklyn, NY 66,604 $9.74M
54 Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC Deer Park, NY 64,726 $9.31M
55 Elbowoods Memorial Health Center New Town, ND 18,860 $9.31M
56 Kayenta Alternative Rural Hospital Kayenta, AZ 14,506 $9.07M
57 Choctaw Nation of Oklahoma Hugo, OK 17,113 $9.00M
58 Baltimore Medical System INC Baltimore, MD 41,451 $8.90M
59 Citizen Potawatomi Nation Shawnee, OK 14,916 $8.60M
60 Medstar Washington Hospital Center Washington, DC 48,508 $8.58M
61 Children's Hospital Medical Center of Akron Akron, OH 60,486 $8.57M
62 ST Josephs Hospital Health Center Syracuse, NY 72,151 $8.52M
63 Froedtert Memorial Lutheran Hospital, INC. Milwaukee, WI 122,463 $8.23M
64 Southside Medical Center, INC. Atlanta, GA 85,293 $8.19M
65 North Shore Lij, Urgent Care, P.C. Rockville Centre, NY 45,780 $8.09M
66 Canton-Potsdam Hospital Potsdam, NY 65,284 $8.06M
67 Good Samaritan Hospital Medical Center West Islip, NY 64,776 $7.97M
68 Essen Medical Urgicare, PLLC Bronx, NY 93,994 $7.91M
69 Mount Vernon Neighborhood Health Center, INC. Mount Vernon, NY 140,694 $7.69M
70 Jamaica Hospital Richmond Hill, NY 77,916 $7.44M
71 The New York and Presbyterian Hospital New York, NY 39,328 $7.27M
72 Virginia Commonwealth University Health System Authority Richmond, VA 47,510 $7.22M
73 Choctaw Nation of Oklahoma Stigler, OK 13,785 $7.02M
74 Cambridge Public Health Commission Cambridge, MA 60,214 $6.91M
75 Lasante Health Center INC Brooklyn, NY 51,910 $6.89M
76 Warm Springs Health and Wellness DHHS Ihs Warm Springs Service Unit Warm Springs, OR 18,668 $6.87M
77 Mississippi Band of Choctaw Indians Choctaw, MS 15,126 $6.86M
78 Planned Parenthood/Orange and San Bernardino Counties, INC. Orange, CA 98,273 $6.50M
79 Planned Parenthood Hudson Peconic INC. Smithtown, NY 52,169 $6.45M
80 New York Society for the Relief of Ruptured & Crippled Maintaining New York, NY 32,902 $6.36M
81 Ses Operating Corp New York, NY 51,080 $6.28M
82 New York and Presbyterian Hospital Brooklyn, NY 41,245 $6.22M
83 Duke University Health System, INC. Durham, NC 189,163 $6.22M
84 University of Texas Medical Branch at Galveston Galveston, TX 81,509 $6.18M
85 Planned Parenthood of Greater New York INC New York, NY 37,885 $6.09M
86 Action Urgent Care INC San Jose, CA 216,515 $5.94M
87 The Floating Hospital INC. Long Island City, NY 66,839 $5.92M
88 DHHS PHS Naihs Chinle Comprehensive Health Care Facility Chinle, AZ 55,459 $5.91M
89 Barrio Comprehensive Family Health Care Center, INC. San Antonio, TX 98,713 $5.89M
90 Mid Atlantic Pemanente Medical Group Rockville, MD 103,292 $5.67M
91 Santa Fe Indian Hospital Santa Fe, NM 11,486 $5.66M
92 Ohio State University Hospitals Columbus, OH 57,297 $5.62M
93 Ochsner Clinic Foundation New Orleans, LA 185,079 $5.42M
94 Premium Health, INC. Brooklyn, NY 35,727 $5.32M
95 Kalihi Palama Health Center Honolulu, HI 26,489 $5.25M
96 Wyckoff Heights Medical Center Brooklyn, NY 43,006 $5.18M
97 Open Door Family Medical Center INC Port Chester, NY 43,437 $5.15M
98 Southern Regional Medical Corporation Houma, LA 174,444 $5.02M
99 University Health Shreveport LLC Shreveport, LA 181,894 $5.01M
100 Bronxcare DR. Martin Luther King JR. Health Center Bronx, NY 58,584 $4.99M