98966
HCPCS Procedure Code
HCPCS code 98966 is the #2,878 most-billed Medicaid procedure code, with $3.2M in payments across 475K claims from 2018–2024. The national median cost per claim is $6.84. Costs vary widely — the 90th percentile is $23.74 per claim, 3.5× the median.
Total Paid
$3.2M
0.00% of all spending
Total Claims
475K
Providers
671
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 98966? Based on 513 providers billing this code nationally.
Median
$6.84
Average
$14.85
Std Dev
$42.42
Max
$544.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.76 and $10.80 per claim for this code.
90% bill between $0.04 and $23.74.
Top 1% bill above $173.47.
About This Procedure
HCPCS code 98966 was billed by 671 providers across 475K claims, totaling $3.2M in Medicaid payments from 2018–2024. This code was used for 349K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.84
Providers Billing
513
National Spending
$3.2M
Avg/Median Ratio
2.17×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 98966
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $666K |
| 2 | 1174184709 | $573K |
| 3 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $191K |
| 4 | 1598018806 | $187K |
| 5 | 1780861062 | $146K |
| 6 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $78K |
| 7 | 1710049218 | $72K |
| 8 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $70K |
| 9 | 1467678706 | $69K |
| 10 | 1306387949 | $67K |
| 11 | 1417084708 | $66K |
| 12 | 1962040246 | $36K |
| 13 | 1982607537 | $34K |
| 14 | United Health Services Hospitals, Inc. Binghamton, NY · General Acute Care Hospital | $29K |
| 15 | 1316040249 | $28K |
| 16 | 1568576056 | $28K |
| 17 | 1003824855 | $28K |
| 18 | 1780158261 | $27K |
| 19 | 1528233103 | $26K |
| 20 | 1952476715 | $26K |
Showing top 20 of 671 providers billing this code