98960
HCPCS Procedure Code
HCPCS code 98960 is the #1,529 most-billed Medicaid procedure code, with $20.1M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $12.74. Costs vary widely — the 90th percentile is $49.96 per claim, 3.9× the median.
Total Paid
$20.1M
0.00% of all spending
Total Claims
1.1M
Providers
885
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for 98960? Based on 583 providers billing this code nationally.
Median
$12.74
Average
$24.47
Std Dev
$45.10
Max
$654.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.53 and $32.86 per claim for this code.
90% bill between $0.48 and $49.96.
Top 1% bill above $159.84.
About This Procedure
HCPCS code 98960 was billed by 885 providers across 1.1M claims, totaling $20.1M in Medicaid payments from 2018–2024. This code was used for 674K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.74
Providers Billing
583
National Spending
$20.1M
Avg/Median Ratio
1.92×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 98960
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1821042086 | $1.0M |
| 2 | 1437656840 | $832K |
| 3 | 1275232993 | $742K |
| 4 | 1053189514 | $714K |
| 5 | 1578508453 | $649K |
| 6 | 1891407235 | $571K |
| 7 | 1689225351 | $544K |
| 8 | 1528848934 | $537K |
| 9 | 1760193858 | $532K |
| 10 | 1306557491 | $513K |
| 11 | 1235843608 | $512K |
| 12 | 1477332880 | $480K |
| 13 | 1114656816 | $443K |
| 14 | 1962276980 | $408K |
| 15 | 1144405762 | $360K |
| 16 | 1063030419 | $357K |
| 17 | 1619687373 | $308K |
| 18 | 1073620498 | $296K |
| 19 | 1245731173 | $295K |
| 20 | 1083013619 | $289K |
Showing top 20 of 885 providers billing this code