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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992215446 | $81K |
| 2 | 1043882392 | $72K |
| 3 | 1336559079 | $20K |
| 4 | 1194315564 | $11K |
| 5 | 1376521773 | $7K |
| 6 | 1093058463 | $7K |
| 7 | 1295499002 | $6K |
| 8 | 1720083157 | $5K |
| 9 | 1285391698 | $3K |
| 10 | 1811544174 | $3K |
| 11 | 1568664944 | $3K |
| 12 | 1770233132 | $2K |
| 13 | 1336674316 | $2K |
| 14 | 1629143037 | $1K |
| 15 | 1144527003 | $1K |
| 16 | 1336245828 | $1K |
| 17 | 1558504258 | $987 |
| 18 | 1255067955 | $747 |
| 19 | 1154551802 | $602 |
| 20 | 1194414805 | $271 |
Showing top 20 of 25 providers billing this code