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#6845 of 11K

98975

HCPCS Procedure Code

HCPCS code 98975 is the #6,845 most-billed Medicaid procedure code, with $40K in payments across 5,580 claims from 2018–2024. The national median cost per claim is $7.28. Costs vary widely — the 90th percentile is $16.64 per claim, 2.3× the median.

Total Paid

$40K

0.00% of all spending

Total Claims

5,580

Providers

32

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 98975? Based on 29 providers billing this code nationally.

Median

$7.28

Average

$8.03

Std Dev

$6.18

Max

$23.45

Percentile Distribution (Cost per Claim)

p10
$1.18
p25
$2.61
Median
$7.28
p75
$11.25
p90
$16.64
p95
$19.00
p99
$22.24

50% of providers bill between $2.61 and $11.25 per claim for this code.

90% bill between $1.18 and $16.64.

Top 1% bill above $22.24.

About This Procedure

HCPCS code 98975 was billed by 32 providers across 5,580 claims, totaling $40K in Medicaid payments from 2018–2024. This code was used for 4,944 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.28

Providers Billing

29

National Spending

$40K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 98975

#ProviderTotal Paid
11528483245$6K
21144527003$6K
31679179980$6K
41194414805$4K
51962068296$4K
61043882392$3K
71427095801$2K
81285391698$2K
91811544174$1K
101336559079$1K
111326282088$633
121093477580$446
131568664944$304
141093058463$293
151316919327$237
161356950653$233
171295499002$233
181679119689$217
191851998181$187
201750412201$170

Showing top 20 of 32 providers billing this code