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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1528483245 | $6K |
| 2 | 1144527003 | $6K |
| 3 | 1679179980 | $6K |
| 4 | 1194414805 | $4K |
| 5 | 1962068296 | $4K |
| 6 | 1043882392 | $3K |
| 7 | 1427095801 | $2K |
| 8 | 1285391698 | $2K |
| 9 | 1811544174 | $1K |
| 10 | 1336559079 | $1K |
| 11 | 1326282088 | $633 |
| 12 | 1093477580 | $446 |
| 13 | 1568664944 | $304 |
| 14 | 1093058463 | $293 |
| 15 | 1316919327 | $237 |
| 16 | 1356950653 | $233 |
| 17 | 1295499002 | $233 |
| 18 | 1679119689 | $217 |
| 19 | 1851998181 | $187 |
| 20 | 1750412201 | $170 |
Showing top 20 of 32 providers billing this code