0297T
HCPCS Procedure Code
HCPCS code 0297T is the #2,623 most-billed Medicaid procedure code, with $4.5M in payments across 70K claims from 2018–2024. The national median cost per claim is $19.09. Costs vary widely — the 90th percentile is $68.27 per claim, 3.6× the median.
Total Paid
$4.5M
0.00% of all spending
Total Claims
70K
Providers
22
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 0297T? Based on 22 providers billing this code nationally.
Median
$19.09
Average
$34.72
Std Dev
$45.53
Max
$208.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.93 and $50.85 per claim for this code.
90% bill between $1.65 and $68.27.
Top 1% bill above $181.19.
About This Procedure
HCPCS code 0297T was billed by 22 providers across 70K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.09
Providers Billing
22
National Spending
$4.5M
Avg/Median Ratio
1.82×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0297T
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710130539 | $3.7M |
| 2 | 1790869402 | $635K |
| 3 | 1063414258 | $60K |
| 4 | 1932697729 | $40K |
| 5 | 1336245828 | $15K |
| 6 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $9K |
| 7 | 1467440743 | $8K |
| 8 | University Of Washington Seattle, WA · Clinic/Center, Dental | $5K |
| 9 | 1356307581 | $4K |
| 10 | 1326091448 | $2K |
| 11 | 1104875103 | $1K |
| 12 | 1801851258 | $1K |
| 13 | 1306845557 | $1K |
| 14 | 1306274634 | $986 |
| 15 | Children's Hospital Corporation Boston, MA · Clinic/Center | $968 |
| 16 | 1699874248 | $899 |
| 17 | 1114948445 | $783 |
| 18 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $294 |
| 19 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $165 |
| 20 | 1922043686 | $79 |
Showing top 20 of 22 providers billing this code