98962
HCPCS Procedure Code
HCPCS code 98962 is the #3,625 most-billed Medicaid procedure code, with $1.4M in payments across 41K claims from 2018–2024. The national median cost per claim is $12.43. Costs vary widely — the 90th percentile is $442.50 per claim, 35.6× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
41K
Providers
67
Avg Cost/Claim
$34
National Cost Distribution
How much do providers bill per claim for 98962? Based on 30 providers billing this code nationally.
Median
$12.43
Average
$99.61
Std Dev
$179.85
Max
$574.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.19 and $28.12 per claim for this code.
90% bill between $3.20 and $442.50.
Top 1% bill above $556.13.
About This Procedure
HCPCS code 98962 was billed by 67 providers across 41K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.43
Providers Billing
30
National Spending
$1.4M
Avg/Median Ratio
8.01×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 98962
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689225351 | $587K |
| 2 | 1487191201 | $348K |
| 3 | 1063030419 | $191K |
| 4 | 1851036123 | $97K |
| 5 | 1164920963 | $87K |
| 6 | 1588322515 | $22K |
| 7 | 1134838352 | $21K |
| 8 | 1144809369 | $21K |
| 9 | Central Oklahoma American Indian Health Council Inc. Oklahoma City, OK · Clinic/Center Federally Qualified Health Center (FQHC) | $15K |
| 10 | 1407862030 | $6K |
| 11 | 1447952767 | $5K |
| 12 | 1679911531 | $3K |
| 13 | 1710945969 | $2K |
| 14 | 1871656082 | $2K |
| 15 | 1710432919 | $2K |
| 16 | 1063857373 | $1K |
| 17 | 1730487208 | $1K |
| 18 | 1417301250 | $1K |
| 19 | 1952302689 | $993 |
| 20 | 1942596275 | $820 |
Showing top 20 of 67 providers billing this code