97610
HCPCS Procedure Code
HCPCS code 97610 is the #3,557 most-billed Medicaid procedure code, with $1.5M in payments across 30K claims from 2018–2024. The national median cost per claim is $17.44. Costs vary widely — the 90th percentile is $92.80 per claim, 5.3× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
30K
Providers
54
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 97610? Based on 34 providers billing this code nationally.
Median
$17.44
Average
$42.47
Std Dev
$56.59
Max
$239.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.57 and $63.07 per claim for this code.
90% bill between $0.71 and $92.80.
Top 1% bill above $229.65.
About This Procedure
HCPCS code 97610 was billed by 54 providers across 30K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 9,598 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.44
Providers Billing
34
National Spending
$1.5M
Avg/Median Ratio
2.44×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 97610
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649212572 | $451K |
| 2 | 1437675980 | $329K |
| 3 | 1568793750 | $249K |
| 4 | 1306317961 | $185K |
| 5 | 1275969131 | $100K |
| 6 | 1689835563 | $50K |
| 7 | 1720536477 | $35K |
| 8 | 1699975144 | $29K |
| 9 | 1346539640 | $24K |
| 10 | 1407146707 | $18K |
| 11 | 1730144593 | $14K |
| 12 | 1255397840 | $13K |
| 13 | 1376063461 | $12K |
| 14 | 1275869802 | $11K |
| 15 | 1205130911 | $9K |
| 16 | 1447527320 | $6K |
| 17 | 1801447784 | $5K |
| 18 | 1205176096 | $5K |
| 19 | 1760870026 | $4K |
| 20 | 1699225029 | $4K |
Showing top 20 of 54 providers billing this code