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#3983 of 11K

97606

HCPCS Procedure Code

HCPCS code 97606 is the #3,983 most-billed Medicaid procedure code, with $960K in payments across 4,823 claims from 2018–2024. The national median cost per claim is $103.87.

Total Paid

$960K

0.00% of all spending

Total Claims

4,823

Providers

2

Avg Cost/Claim

$199

National Cost Distribution

How much do providers bill per claim for 97606? Based on 2 providers billing this code nationally.

Median

$103.87

Average

$103.87

Std Dev

$136.36

Max

$200.29

Percentile Distribution (Cost per Claim)

p10
$26.73
p25
$55.66
Median
$103.87
p75
$152.08
p90
$181.01
p95
$190.65
p99
$198.36

50% of providers bill between $55.66 and $152.08 per claim for this code.

90% bill between $26.73 and $181.01.

Top 1% bill above $198.36.

About This Procedure

HCPCS code 97606 was billed by 2 providers across 4,823 claims, totaling $960K in Medicaid payments from 2018–2024. This code was used for 924 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$103.87

Providers Billing

2

National Spending

$960K

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.