97003
HCPCS Procedure Code
HCPCS code 97003 is the #3,387 most-billed Medicaid procedure code, with $1.8M in payments across 33K claims from 2018–2024. The national median cost per claim is $98.97.
Total Paid
$1.8M
0.00% of all spending
Total Claims
33K
Providers
220
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for 97003? Based on 189 providers billing this code nationally.
Median
$98.97
Average
$87.89
Std Dev
$34.93
Max
$188.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.14 and $106.99 per claim for this code.
90% bill between $37.81 and $120.66.
Top 1% bill above $178.53.
About This Procedure
HCPCS code 97003 was billed by 220 providers across 33K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$98.97
Providers Billing
189
National Spending
$1.8M
Avg/Median Ratio
0.89×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97003
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles Unified School District Los Angeles, CA · Social Worker School | $165K |
| 2 | Kid Success Inc. Conway, AR · Clinic/Center Rehabilitation | $136K |
| 3 | 1588709869 | $64K |
| 4 | 1871755223 | $62K |
| 5 | 1669690830 | $46K |
| 6 | 1356313340 | $44K |
| 7 | 1922470608 | $42K |
| 8 | 1740338011 | $35K |
| 9 | 1912198730 | $35K |
| 10 | 1811047921 | $32K |
| 11 | 1669513404 | $26K |
| 12 | 1639395346 | $25K |
| 13 | 1497897292 | $21K |
| 14 | 1629280128 | $21K |
| 15 | First Step Inc. Hot Springs, AR · Day Training Developmentally Disabled Services | $20K |
| 16 | Kids For The Future Of Forrest City Inc. Forrest City, AR · Early Intervention Provider Agency | $20K |
| 17 | 1558418392 | $20K |
| 18 | 1851476931 | $20K |
| 19 | 1427180835 | $20K |
| 20 | 1477549756 | $19K |
Showing top 20 of 220 providers billing this code