0097U
HCPCS Procedure Code
HCPCS code 0097U is the #3,840 most-billed Medicaid procedure code, with $1.1M in payments across 19K claims from 2018–2024. The national median cost per claim is $62.64. Costs vary widely — the 90th percentile is $204.77 per claim, 3.3× the median.
Total Paid
$1.1M
0.00% of all spending
Total Claims
19K
Providers
65
Avg Cost/Claim
$57
National Cost Distribution
How much do providers bill per claim for 0097U? Based on 54 providers billing this code nationally.
Median
$62.64
Average
$85.10
Std Dev
$82.19
Max
$350.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.04 and $130.87 per claim for this code.
90% bill between $2.06 and $204.77.
Top 1% bill above $298.18.
About This Procedure
HCPCS code 0097U was billed by 65 providers across 19K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.64
Providers Billing
54
National Spending
$1.1M
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0097U
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $401K |
| 2 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $147K |
| 3 | 1730264128 | $68K |
| 4 | 1710916945 | $62K |
| 5 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $51K |
| 6 | 1356307581 | $50K |
| 7 | 1346297843 | $43K |
| 8 | 1568452290 | $40K |
| 9 | 1639135221 | $36K |
| 10 | 1457389249 | $34K |
| 11 | 1699874248 | $18K |
| 12 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $16K |
| 13 | 1083249577 | $12K |
| 14 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $11K |
| 15 | 1639101199 | $9K |
| 16 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $9K |
| 17 | 1104829159 | $8K |
| 18 | 1598748782 | $7K |
| 19 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $7K |
| 20 | 1538244918 | $7K |
Showing top 20 of 65 providers billing this code