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#5321 of 11K

98976

HCPCS Procedure Code

HCPCS code 98976 is the #5,321 most-billed Medicaid procedure code, with $230K in payments across 50K claims from 2018–2024. The national median cost per claim is $12.52. Costs vary widely — the 90th percentile is $32.08 per claim, 2.6× the median.

Total Paid

$230K

0.00% of all spending

Total Claims

50K

Providers

25

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 98976? Based on 23 providers billing this code nationally.

Median

$12.52

Average

$16.31

Std Dev

$14.26

Max

$53.39

Percentile Distribution (Cost per Claim)

p10
$1.02
p25
$4.87
Median
$12.52
p75
$24.55
p90
$32.08
p95
$40.50
p99
$50.76

50% of providers bill between $4.87 and $24.55 per claim for this code.

90% bill between $1.02 and $32.08.

Top 1% bill above $50.76.

About This Procedure

HCPCS code 98976 was billed by 25 providers across 50K claims, totaling $230K in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.52

Providers Billing

23

National Spending

$230K

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 98976

#ProviderTotal Paid
11992215446$81K
21043882392$72K
31336559079$20K
41194315564$11K
51376521773$7K
61093058463$7K
71295499002$6K
81720083157$5K
91285391698$3K
101811544174$3K
111568664944$3K
121770233132$2K
131336674316$2K
141629143037$1K
151144527003$1K
161336245828$1K
171558504258$987
181255067955$747
191154551802$602
201194414805$271

Showing top 20 of 25 providers billing this code