97022
HCPCS Procedure Code
HCPCS code 97022 is the #4,187 most-billed Medicaid procedure code, with $772K in payments across 92K claims from 2018–2024. The national median cost per claim is $8.28. Costs vary widely — the 90th percentile is $23.38 per claim, 2.8× the median.
Total Paid
$772K
0.00% of all spending
Total Claims
92K
Providers
127
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 97022? Based on 122 providers billing this code nationally.
Median
$8.28
Average
$12.16
Std Dev
$14.78
Max
$79.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.30 and $12.52 per claim for this code.
90% bill between $1.76 and $23.38.
Top 1% bill above $76.72.
About This Procedure
HCPCS code 97022 was billed by 127 providers across 92K claims, totaling $772K in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.28
Providers Billing
122
National Spending
$772K
Avg/Median Ratio
1.47×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97022
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164411278 | $98K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $70K |
| 3 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $60K |
| 4 | 1427041581 | $43K |
| 5 | 1477570315 | $42K |
| 6 | 1871805150 | $29K |
| 7 | 1497007751 | $26K |
| 8 | 1528061827 | $26K |
| 9 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $24K |
| 10 | 1598717480 | $23K |
| 11 | 1588656946 | $22K |
| 12 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $19K |
| 13 | 1285673517 | $16K |
| 14 | 1861611964 | $16K |
| 15 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $15K |
| 16 | District Hospital Partners L P Washington, DC · Nurse Practitioner, Family | $15K |
| 17 | Hmh Hospitals Corporation Neptune, NJ · General Acute Care Hospital | $12K |
| 18 | 1700886322 | $12K |
| 19 | 1841385713 | $11K |
| 20 | 1124136593 | $10K |
Showing top 20 of 127 providers billing this code