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#5301 of 11K

98977

HCPCS Procedure Code

HCPCS code 98977 is the #5,301 most-billed Medicaid procedure code, with $235K in payments across 43K claims from 2018–2024. The national median cost per claim is $10.26. Costs vary widely — the 90th percentile is $41.89 per claim, 4.1× the median.

Total Paid

$235K

0.00% of all spending

Total Claims

43K

Providers

40

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 98977? Based on 33 providers billing this code nationally.

Median

$10.26

Average

$16.68

Std Dev

$17.04

Max

$65.04

Percentile Distribution (Cost per Claim)

p10
$1.25
p25
$4.54
Median
$10.26
p75
$25.07
p90
$41.89
p95
$47.27
p99
$60.31

50% of providers bill between $4.54 and $25.07 per claim for this code.

90% bill between $1.25 and $41.89.

Top 1% bill above $60.31.

About This Procedure

HCPCS code 98977 was billed by 40 providers across 43K claims, totaling $235K in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.26

Providers Billing

33

National Spending

$235K

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 98977

#ProviderTotal Paid
11992215446$57K
21144527003$48K
31528483245$35K
41326282088$18K
51164644480$15K
61811544174$11K
71194315564$9K
81316919327$7K
91427095801$5K
101205450418$4K
111376521773$3K
121467495226$3K
131750331013$3K
141285252353$3K
151700343514$3K
161306280177$3K
171336674316$2K
181720631708$1K
191851998181$1K
201790309276$1K

Showing top 20 of 40 providers billing this code