98971
HCPCS Procedure Code
HCPCS code 98971 is the #6,693 most-billed Medicaid procedure code, with $47K in payments across 2,712 claims from 2018–2024. The national median cost per claim is $14.75. Costs vary widely — the 90th percentile is $42.70 per claim, 2.9× the median.
Total Paid
$47K
0.00% of all spending
Total Claims
2,712
Providers
15
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 98971? Based on 9 providers billing this code nationally.
Median
$14.75
Average
$23.75
Std Dev
$35.27
Max
$115.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.73 and $20.31 per claim for this code.
90% bill between $1.53 and $42.70.
Top 1% bill above $108.05.
About This Procedure
HCPCS code 98971 was billed by 15 providers across 2,712 claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 2,501 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.75
Providers Billing
9
National Spending
$47K
Avg/Median Ratio
1.61×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 98971
| # | Provider | Total Paid |
|---|---|---|
| 1 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $41K |
| 2 | 1407805500 | $3K |
| 3 | 1730106162 | $2K |
| 4 | 1144527003 | $1K |
| 5 | 1932121514 | $490 |
| 6 | 1063167849 | $305 |
| 7 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $177 |
| 8 | 1841812310 | $143 |
| 9 | 1770854473 | $44 |
| 10 | 1235694506 | $0 |
| 11 | 1437579927 | $0 |
| 12 | 1780818963 | $0 |
| 13 | 1275957557 | $0 |
| 14 | 1265648984 | $0 |
| 15 | 1205013190 | $0 |
Showing top 15 of 15 providers billing this code