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#5532 of 11K

0298T

HCPCS Procedure Code

HCPCS code 0298T is the #5,532 most-billed Medicaid procedure code, with $180K in payments across 14K claims from 2018–2024. The national median cost per claim is $6.16. Costs vary widely — the 90th percentile is $18.36 per claim, 3.0× the median.

Total Paid

$180K

0.00% of all spending

Total Claims

14K

Providers

118

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 0298T? Based on 103 providers billing this code nationally.

Median

$6.16

Average

$10.42

Std Dev

$14.55

Max

$95.89

Percentile Distribution (Cost per Claim)

p10
$0.88
p25
$2.46
Median
$6.16
p75
$11.98
p90
$18.36
p95
$31.20
p99
$75.00

50% of providers bill between $2.46 and $11.98 per claim for this code.

90% bill between $0.88 and $18.36.

Top 1% bill above $75.00.

About This Procedure

HCPCS code 0298T was billed by 118 providers across 14K claims, totaling $180K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.16

Providers Billing

103

National Spending

$180K

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 0298T

#ProviderTotal Paid
11841554151$70K
21023331303$28K
31326091448$8K
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$7K
51225054505$6K
61679707632$4K
71306244694$4K
81376709535$4K
91932128733$4K
10Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$3K
111487693586$3K
12Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$2K
131235107566$2K
141194765438$2K
15Montefiore Medical Center

Bronx, NY · Anesthesiology

$2K
16Florida Clinical Practice Association Inc

Gainesville, FL · Surgery

$2K
171932131463$2K
181013162817$2K
191841738952$2K
201639172372$1K

Showing top 20 of 118 providers billing this code