97810
HCPCS Procedure Code
HCPCS code 97810 is the #944 most-billed Medicaid procedure code, with $56.1M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $23.92.
Total Paid
$56.1M
0.01% of all spending
Total Claims
2.4M
Providers
1K
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 97810? Based on 1K providers billing this code nationally.
Median
$23.92
Average
$28.46
Std Dev
$46.71
Max
$718.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.42 and $35.21 per claim for this code.
90% bill between $5.04 and $40.56.
Top 1% bill above $143.73.
About This Procedure
HCPCS code 97810 was billed by 1K providers across 2.4M claims, totaling $56.1M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.92
Providers Billing
1K
National Spending
$56.1M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97810
| # | Provider | Total Paid |
|---|---|---|
| 1 | Lake County Tribal Health Consortium Inc. Lakeport, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $2.7M |
| 2 | 1497141766 | $2.4M |
| 3 | 1730574435 | $1.3M |
| 4 | 1760970255 | $1.2M |
| 5 | 1083971204 | $1.1M |
| 6 | 1265457980 | $1.0M |
| 7 | 1861742991 | $791K |
| 8 | 1922590751 | $741K |
| 9 | North East Medical Services San Francisco, CA · Case Manager/Care Coordinator | $604K |
| 10 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $600K |
| 11 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $574K |
| 12 | 1245356674 | $564K |
| 13 | 1437216025 | $514K |
| 14 | 1548710031 | $509K |
| 15 | 1881658276 | $479K |
| 16 | 1477958312 | $458K |
| 17 | 1003826009 | $439K |
| 18 | 1912145772 | $416K |
| 19 | 1871637249 | $382K |
| 20 | 1043317928 | $380K |
Showing top 20 of 1K providers billing this code