97760
HCPCS Procedure Code
HCPCS code 97760 is the #2,534 most-billed Medicaid procedure code, with $5.1M in payments across 124K claims from 2018–2024. The national median cost per claim is $30.29. Costs vary widely — the 90th percentile is $75.46 per claim, 2.5× the median.
Total Paid
$5.1M
0.00% of all spending
Total Claims
124K
Providers
327
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for 97760? Based on 301 providers billing this code nationally.
Median
$30.29
Average
$37.15
Std Dev
$32.61
Max
$227.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.22 and $47.07 per claim for this code.
90% bill between $5.68 and $75.46.
Top 1% bill above $157.00.
About This Procedure
HCPCS code 97760 was billed by 327 providers across 124K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 101K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$30.29
Providers Billing
301
National Spending
$5.1M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97760
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $567K |
| 2 | 1336245828 | $263K |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $238K |
| 4 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $227K |
| 5 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $219K |
| 6 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $216K |
| 7 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $207K |
| 8 | 1689656183 | $190K |
| 9 | 1972502227 | $162K |
| 10 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $157K |
| 11 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $126K |
| 12 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $122K |
| 13 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $108K |
| 14 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $92K |
| 15 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $92K |
| 16 | 1164411278 | $82K |
| 17 | 1841258589 | $75K |
| 18 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $68K |
| 19 | 1528061827 | $66K |
| 20 | Newyork-presbyterian-queens Flushing, NY · General Acute Care Hospital | $63K |
Showing top 20 of 327 providers billing this code