00797
HCPCS Procedure Code
HCPCS code 00797 is the #2,691 most-billed Medicaid procedure code, with $4.1M in payments across 21K claims from 2018–2024. The national median cost per claim is $201.73.
Total Paid
$4.1M
0.00% of all spending
Total Claims
21K
Providers
101
Avg Cost/Claim
$193
National Cost Distribution
How much do providers bill per claim for 00797? Based on 97 providers billing this code nationally.
Median
$201.73
Average
$217.66
Std Dev
$146.82
Max
$1,026.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $119.21 and $259.69 per claim for this code.
90% bill between $96.30 and $362.77.
Top 1% bill above $777.17.
About This Procedure
HCPCS code 00797 was billed by 101 providers across 21K claims, totaling $4.1M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$201.73
Providers Billing
97
National Spending
$4.1M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00797
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053354233 | $695K |
| 2 | 1083928501 | $250K |
| 3 | 1811997869 | $242K |
| 4 | 1740403658 | $225K |
| 5 | 1225016926 | $219K |
| 6 | 1972126209 | $214K |
| 7 | 1710324041 | $166K |
| 8 | 1871986372 | $159K |
| 9 | 1699710749 | $157K |
| 10 | 1275863599 | $145K |
| 11 | 1124248752 | $139K |
| 12 | 1497797153 | $124K |
| 13 | 1952387276 | $107K |
| 14 | 1417994872 | $98K |
| 15 | 1669581997 | $77K |
| 16 | 1649264706 | $72K |
| 17 | 1093078974 | $63K |
| 18 | 1013662048 | $62K |
| 19 | Montefiore Medical Center Bronx, NY · Anesthesiology | $58K |
| 20 | 1245279777 | $50K |
Showing top 20 of 101 providers billing this code