98968
HCPCS Procedure Code
HCPCS code 98968 is the #1,745 most-billed Medicaid procedure code, with $14.9M in payments across 403K claims from 2018–2024. The national median cost per claim is $28.39. Costs vary widely — the 90th percentile is $64.95 per claim, 2.3× the median.
Total Paid
$14.9M
0.00% of all spending
Total Claims
403K
Providers
940
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 98968? Based on 788 providers billing this code nationally.
Median
$28.39
Average
$38.73
Std Dev
$53.97
Max
$606.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.98 and $41.87 per claim for this code.
90% bill between $2.81 and $64.95.
Top 1% bill above $256.76.
About This Procedure
HCPCS code 98968 was billed by 940 providers across 403K claims, totaling $14.9M in Medicaid payments from 2018–2024. This code was used for 271K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.39
Providers Billing
788
National Spending
$14.9M
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 98968
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $2.5M |
| 2 | Waianae District Comprehensive Health And Hospital Board, Inc Waianae, HI · Pediatrics | $1.1M |
| 3 | 1649339581 | $679K |
| 4 | 1184139602 | $625K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $537K |
| 6 | 1053955120 | $356K |
| 7 | 1992947766 | $348K |
| 8 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $344K |
| 9 | 1992730956 | $303K |
| 10 | 1548702301 | $246K |
| 11 | 1316040249 | $223K |
| 12 | 1184725210 | $196K |
| 13 | 1457458424 | $174K |
| 14 | 1851436257 | $166K |
| 15 | 1407862030 | $161K |
| 16 | 1932304714 | $158K |
| 17 | 1821059486 | $133K |
| 18 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $131K |
| 19 | 1770662348 | $129K |
| 20 | 1457304966 | $128K |
Showing top 20 of 940 providers billing this code