97110
Therapeutic exercises, each 15 min
Therapeutic exercises, each 15 min is the #38 most-billed Medicaid procedure code, with $4.96B in payments across 135.7M claims from 2018–2024. The national median cost per claim is $24.49. Costs vary widely — the 90th percentile is $65.28 per claim, 2.7× the median.
Total Paid
$4.96B
0.45% of all spending
Total Claims
135.7M
Providers
25K
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 97110? Based on 24K providers billing this code nationally.
Median
$24.49
Average
$32.15
Std Dev
$35.19
Max
$1,940.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.87 and $41.55 per claim for this code.
90% bill between $5.70 and $65.28.
Top 1% bill above $131.53.
About This Procedure
HCPCS code 97110 (Therapeutic exercises, each 15 min) was billed by 25K providers across 135.7M claims, totaling $4.96B in Medicaid payments from 2018–2024. This code was used for 38.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.49
Providers Billing
24K
National Spending
$4.96B
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97110
| # | Provider | Total Paid |
|---|---|---|
| 1 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $21.7M |
| 2 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $20.4M |
| 3 | Commonwealth Of Pennsylvania Department Of Education West Hazleton, PA · Local Education Agency (LEA) | $20.0M |
| 4 | Los Angeles Unified School District Los Angeles, CA · Social Worker School | $19.9M |
| 5 | Blythedale Children's Hospital Valhalla, NY · Rehabilitation Hospital Children | $19.5M |
| 6 | 1396781050 | $18.0M |
| 7 | District Hospital Partners L P Washington, DC · Nurse Practitioner, Family | $17.4M |
| 8 | 1942239926 | $15.7M |
| 9 | City Of New York Brooklyn, NY · Local Education Agency (LEA) | $15.2M |
| 10 | 1770540593 | $15.0M |
| 11 | 1255354288 | $14.5M |
| 12 | 1033293691 | $14.4M |
| 13 | 1780600825 | $14.4M |
| 14 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $14.2M |
| 15 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $13.9M |
| 16 | 1770568669 | $13.0M |
| 17 | 1871570309 | $12.8M |
| 18 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $12.6M |
| 19 | Kid Success Inc. Conway, AR · Clinic/Center Rehabilitation | $12.1M |
| 20 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $12.0M |
Showing top 20 of 25K providers billing this code