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#4848 of 11K

97024

HCPCS Procedure Code

HCPCS code 97024 is the #4,848 most-billed Medicaid procedure code, with $377K in payments across 70K claims from 2018–2024. The national median cost per claim is $2.75. Costs vary widely — the 90th percentile is $12.89 per claim, 4.7× the median.

Total Paid

$377K

0.00% of all spending

Total Claims

70K

Providers

62

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 97024? Based on 46 providers billing this code nationally.

Median

$2.75

Average

$10.75

Std Dev

$31.80

Max

$156.83

Percentile Distribution (Cost per Claim)

p10
$0.45
p25
$0.82
Median
$2.75
p75
$4.55
p90
$12.89
p95
$32.08
p99
$155.57

50% of providers bill between $0.82 and $4.55 per claim for this code.

90% bill between $0.45 and $12.89.

Top 1% bill above $155.57.

About This Procedure

HCPCS code 97024 was billed by 62 providers across 70K claims, totaling $377K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.75

Providers Billing

46

National Spending

$377K

Avg/Median Ratio

3.91×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 97024

#ProviderTotal Paid
11154439826$171K
21619976131$60K
31982601670$27K
41669546776$17K
51861817603$15K
61386964773$15K
71356855696$12K
81124136593$8K
91396213492$6K
101982662631$6K
111679733497$5K
121861743775$4K
131285861724$4K
141154513414$3K
151922558998$3K
161518159862$2K
171366446080$2K
181578000709$2K
191891288940$2K
201083788053$1K

Showing top 20 of 62 providers billing this code