98981
HCPCS Procedure Code
HCPCS code 98981 is the #5,153 most-billed Medicaid procedure code, with $275K in payments across 14K claims from 2018–2024. The national median cost per claim is $8.63. Costs vary widely — the 90th percentile is $42.34 per claim, 4.9× the median.
Total Paid
$275K
0.00% of all spending
Total Claims
14K
Providers
29
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 98981? Based on 26 providers billing this code nationally.
Median
$8.63
Average
$15.91
Std Dev
$17.19
Max
$61.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.67 and $23.00 per claim for this code.
90% bill between $1.17 and $42.34.
Top 1% bill above $60.25.
About This Procedure
HCPCS code 98981 was billed by 29 providers across 14K claims, totaling $275K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.63
Providers Billing
26
National Spending
$275K
Avg/Median Ratio
1.84×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 98981
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144527003 | $138K |
| 2 | 1194414805 | $43K |
| 3 | 1679179980 | $32K |
| 4 | 1285391698 | $19K |
| 5 | 1164644480 | $12K |
| 6 | 1639245277 | $7K |
| 7 | 1659931384 | $7K |
| 8 | 1427095801 | $5K |
| 9 | 1700925211 | $2K |
| 10 | 1700343514 | $2K |
| 11 | 1679119689 | $2K |
| 12 | 1811544174 | $2K |
| 13 | 1750331013 | $1K |
| 14 | 1124508296 | $539 |
| 15 | 1750585279 | $536 |
| 16 | 1093253718 | $508 |
| 17 | 1528483245 | $451 |
| 18 | 1689144602 | $405 |
| 19 | 1790309276 | $394 |
| 20 | 1275564916 | $314 |
Showing top 20 of 29 providers billing this code