98970
HCPCS Procedure Code
HCPCS code 98970 is the #7,186 most-billed Medicaid procedure code, with $26K in payments across 9,348 claims from 2018–2024. The national median cost per claim is $2.16. Costs vary widely — the 90th percentile is $8.75 per claim, 4.1× the median.
Total Paid
$26K
0.00% of all spending
Total Claims
9,348
Providers
26
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 98970? Based on 16 providers billing this code nationally.
Median
$2.16
Average
$4.56
Std Dev
$6.07
Max
$24.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.31 and $5.41 per claim for this code.
90% bill between $0.26 and $8.75.
Top 1% bill above $22.40.
About This Procedure
HCPCS code 98970 was billed by 26 providers across 9,348 claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 7,487 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.16
Providers Billing
16
National Spending
$26K
Avg/Median Ratio
2.11×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 98970
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386107928 | $11K |
| 2 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $6K |
| 3 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $4K |
| 4 | 1144527003 | $2K |
| 5 | 1861085318 | $852 |
| 6 | 1841812310 | $742 |
| 7 | 1083350649 | $562 |
| 8 | 1548332455 | $370 |
| 9 | 1760614655 | $310 |
| 10 | 1407805500 | $123 |
| 11 | 1083717219 | $75 |
| 12 | 1255471827 | $37 |
| 13 | 1255316675 | $25 |
| 14 | 1447920798 | $16 |
| 15 | 1770854473 | $13 |
| 16 | 1144589193 | $11 |
| 17 | 1962032003 | $0 |
| 18 | 1346494788 | $0 |
| 19 | 1265648984 | $0 |
| 20 | 1205013190 | $0 |
Showing top 20 of 26 providers billing this code