In 1999, he converted all 29 extra-point attempts and was 29 of 36 (.806) on field-goal attempts to account for 116 points on the season, tied for fifth in the AFC and tied for sixth in the league. He was 5-7 on field-goal attempts between 50 and 59 yards in 1999 to improve his career percentage from that range to 63.7 percent (21–33). He was successful from 50 yards at Kansas City, 51 yards against the New York Jets, 55 yards at San Diego, 53 yards against Oakland and 50 against San Diego again. The 55-yarder at San Diego was the third longest of his career, the effort earned Elam AFC Special Teams Player of the Week honors for Week 9 as he made four field goals and scored 15 points in the game, his highest single-game totals for both categories since setting career highs with five field goals and 16 points at Kansas on November 16, 1997. Elam matched the four field goal effort vs. Oakland on Monday Night Football with one of the most pressure-filled conversions of his career from 53 yards with seven seconds remaining to tie the score at 21 and send the game to overtime. It proved to be the eighth game-winning or game-saving field goal of his career as the Broncos went on to win 27–21.