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#6853 of 11K

97155GT

HCPCS Procedure Code

HCPCS code 97155GT is the #6,853 most-billed Medicaid procedure code, with $39K in payments across 177 claims from 2018–2024. The national median cost per claim is $205.53.

Total Paid

$39K

0.00% of all spending

Total Claims

177

Providers

2

Avg Cost/Claim

$223

National Cost Distribution

How much do providers bill per claim for 97155GT? Based on 2 providers billing this code nationally.

Median

$205.53

Average

$205.53

Std Dev

$41.85

Max

$235.12

Percentile Distribution (Cost per Claim)

p10
$181.85
p25
$190.73
Median
$205.53
p75
$220.32
p90
$229.20
p95
$232.16
p99
$234.53

50% of providers bill between $190.73 and $220.32 per claim for this code.

90% bill between $181.85 and $229.20.

Top 1% bill above $234.53.

About This Procedure

HCPCS code 97155GT was billed by 2 providers across 177 claims, totaling $39K in Medicaid payments from 2018–2024. This code was used for 92 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$205.53

Providers Billing

2

National Spending

$39K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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