98928
HCPCS Procedure Code
HCPCS code 98928 is the #2,612 most-billed Medicaid procedure code, with $4.6M in payments across 129K claims from 2018–2024. The national median cost per claim is $31.88.
Total Paid
$4.6M
0.00% of all spending
Total Claims
129K
Providers
220
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for 98928? Based on 216 providers billing this code nationally.
Median
$31.88
Average
$35.81
Std Dev
$26.94
Max
$269.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.60 and $45.34 per claim for this code.
90% bill between $8.58 and $61.81.
Top 1% bill above $115.30.
About This Procedure
HCPCS code 98928 was billed by 220 providers across 129K claims, totaling $4.6M in Medicaid payments from 2018–2024. This code was used for 93K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.88
Providers Billing
216
National Spending
$4.6M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 98928
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1417530304 | $757K |
| 2 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $198K |
| 3 | 1437219698 | $173K |
| 4 | 1841253457 | $159K |
| 5 | 1912263179 | $156K |
| 6 | 1922497395 | $145K |
| 7 | 1083246052 | $133K |
| 8 | 1306882261 | $120K |
| 9 | 1588760235 | $107K |
| 10 | 1790074326 | $106K |
| 11 | 1679622112 | $106K |
| 12 | 1487045688 | $95K |
| 13 | 1164611703 | $95K |
| 14 | 1043317928 | $88K |
| 15 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $82K |
| 16 | 1376579557 | $73K |
| 17 | 1174855449 | $70K |
| 18 | 1629010384 | $63K |
| 19 | 1013997329 | $59K |
| 20 | 1386832913 | $54K |
Showing top 20 of 220 providers billing this code