98926
HCPCS Procedure Code
HCPCS code 98926 is the #2,709 most-billed Medicaid procedure code, with $4.0M in payments across 176K claims from 2018–2024. The national median cost per claim is $22.66.
Total Paid
$4.0M
0.00% of all spending
Total Claims
176K
Providers
324
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 98926? Based on 293 providers billing this code nationally.
Median
$22.66
Average
$25.61
Std Dev
$32.18
Max
$511.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.56 and $33.45 per claim for this code.
90% bill between $3.75 and $41.55.
Top 1% bill above $66.08.
About This Procedure
HCPCS code 98926 was billed by 324 providers across 176K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 121K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.66
Providers Billing
293
National Spending
$4.0M
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 98926
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1063989606 | $901K |
| 2 | 1922559558 | $237K |
| 3 | 1285698381 | $178K |
| 4 | 1285607416 | $159K |
| 5 | 1881762516 | $151K |
| 6 | 1720055064 | $122K |
| 7 | 1215079678 | $122K |
| 8 | 1083246052 | $91K |
| 9 | 1629010384 | $88K |
| 10 | 1063961027 | $79K |
| 11 | 1306882261 | $73K |
| 12 | 1194876136 | $68K |
| 13 | 1144677568 | $64K |
| 14 | 1083605661 | $63K |
| 15 | 1700153681 | $58K |
| 16 | 1801843511 | $51K |
| 17 | 1437615267 | $46K |
| 18 | 1942247143 | $44K |
| 19 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $43K |
| 20 | 1316269285 | $43K |
Showing top 20 of 324 providers billing this code