97814
HCPCS Procedure Code
HCPCS code 97814 is the #1,717 most-billed Medicaid procedure code, with $15.5M in payments across 739K claims from 2018–2024. The national median cost per claim is $22.43. Costs vary widely — the 90th percentile is $48.76 per claim, 2.2× the median.
Total Paid
$15.5M
0.00% of all spending
Total Claims
739K
Providers
404
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 97814? Based on 336 providers billing this code nationally.
Median
$22.43
Average
$25.22
Std Dev
$18.45
Max
$103.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.46 and $38.25 per claim for this code.
90% bill between $1.29 and $48.76.
Top 1% bill above $73.66.
About This Procedure
HCPCS code 97814 was billed by 404 providers across 739K claims, totaling $15.5M in Medicaid payments from 2018–2024. This code was used for 251K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.43
Providers Billing
336
National Spending
$15.5M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 97814
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134491848 | $1.2M |
| 2 | 1073264636 | $940K |
| 3 | 1578721338 | $731K |
| 4 | 1598848970 | $574K |
| 5 | 1174940258 | $413K |
| 6 | 1861977654 | $411K |
| 7 | 1467944884 | $358K |
| 8 | 1912903675 | $345K |
| 9 | 1508309089 | $344K |
| 10 | 1023322427 | $323K |
| 11 | 1417291741 | $304K |
| 12 | 1487707162 | $279K |
| 13 | 1982793733 | $274K |
| 14 | 1053484931 | $269K |
| 15 | 1174093215 | $266K |
| 16 | 1821117623 | $241K |
| 17 | 1033559687 | $207K |
| 18 | 1659853968 | $204K |
| 19 | 1770034076 | $180K |
| 20 | 1750548137 | $175K |
Showing top 20 of 404 providers billing this code