98967
HCPCS Procedure Code
HCPCS code 98967 is the #2,289 most-billed Medicaid procedure code, with $7.1M in payments across 348K claims from 2018–2024. The national median cost per claim is $18.97. Costs vary widely — the 90th percentile is $60.10 per claim, 3.2× the median.
Total Paid
$7.1M
0.00% of all spending
Total Claims
348K
Providers
733
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 98967? Based on 594 providers billing this code nationally.
Median
$18.97
Average
$28.55
Std Dev
$37.26
Max
$378.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.63 and $37.07 per claim for this code.
90% bill between $0.61 and $60.10.
Top 1% bill above $170.35.
About This Procedure
HCPCS code 98967 was billed by 733 providers across 348K claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 241K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.97
Providers Billing
594
National Spending
$7.1M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 98967
| # | Provider | Total Paid |
|---|---|---|
| 1 | Waianae District Comprehensive Health And Hospital Board, Inc Waianae, HI · Pediatrics | $1.2M |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.0M |
| 3 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $880K |
| 4 | 1992730956 | $374K |
| 5 | 1316040249 | $194K |
| 6 | Community Health Center Inc Middletown, CT · Counselor, Addiction (Substance Use Disorder) | $183K |
| 7 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $151K |
| 8 | 1306387949 | $124K |
| 9 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $108K |
| 10 | 1821059486 | $107K |
| 11 | 1013946854 | $85K |
| 12 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $83K |
| 13 | 1710049218 | $79K |
| 14 | 1346251782 | $64K |
| 15 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $56K |
| 16 | 1467678706 | $54K |
| 17 | 1841362795 | $53K |
| 18 | 1740717743 | $49K |
| 19 | 1396750840 | $46K |
| 20 | 1215979810 | $40K |
Showing top 20 of 733 providers billing this code