98980
HCPCS Procedure Code
HCPCS code 98980 is the #4,770 most-billed Medicaid procedure code, with $412K in payments across 29K claims from 2018–2024. The national median cost per claim is $8.81. Costs vary widely — the 90th percentile is $31.03 per claim, 3.5× the median.
Total Paid
$412K
0.00% of all spending
Total Claims
29K
Providers
47
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 98980? Based on 39 providers billing this code nationally.
Median
$8.81
Average
$12.72
Std Dev
$11.91
Max
$46.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.46 and $17.35 per claim for this code.
90% bill between $1.02 and $31.03.
Top 1% bill above $42.71.
About This Procedure
HCPCS code 98980 was billed by 47 providers across 29K claims, totaling $412K in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.81
Providers Billing
39
National Spending
$412K
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 98980
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144527003 | $180K |
| 2 | 1194414805 | $65K |
| 3 | 1427095801 | $40K |
| 4 | 1699704809 | $26K |
| 5 | 1679179980 | $20K |
| 6 | 1164644480 | $15K |
| 7 | 1285391698 | $13K |
| 8 | 1962068296 | $5K |
| 9 | 1659931384 | $5K |
| 10 | 1639245277 | $4K |
| 11 | 1205450418 | $4K |
| 12 | 1700925211 | $3K |
| 13 | 1467495226 | $3K |
| 14 | 1043882392 | $3K |
| 15 | 1811544174 | $3K |
| 16 | 1972813962 | $3K |
| 17 | 1750331013 | $3K |
| 18 | 1700343514 | $3K |
| 19 | 1679119689 | $3K |
| 20 | 1285252353 | $2K |
Showing top 20 of 47 providers billing this code