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#7196 of 11K

97002

HCPCS Procedure Code

HCPCS code 97002 is the #7,196 most-billed Medicaid procedure code, with $25K in payments across 5K claims from 2018–2024. The national median cost per claim is $54.45.

Total Paid

$25K

0.00% of all spending

Total Claims

5K

Providers

12

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 97002? Based on 9 providers billing this code nationally.

Median

$54.45

Average

$64.83

Std Dev

$20.06

Max

$91.25

Percentile Distribution (Cost per Claim)

p10
$49.18
p25
$52.43
Median
$54.45
p75
$91.25
p90
$91.25
p95
$91.25
p99
$91.25

50% of providers bill between $52.43 and $91.25 per claim for this code.

90% bill between $49.18 and $91.25.

Top 1% bill above $91.25.

About This Procedure

HCPCS code 97002 was billed by 12 providers across 5K claims, totaling $25K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.45

Providers Billing

9

National Spending

$25K

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 97002

#ProviderTotal Paid
11417485889$5K
2Los Angeles Unified School District

Los Angeles, CA · Social Worker School

$5K
31407824162$4K
41245208990$4K
51891763561$3K
61831441054$2K
71871773762$1K
81144427626$1K
91912288309$734
101801272992$0
111265813125$0
121275563066$0

Showing top 12 of 12 providers billing this code