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#855 of 11K

0762

HCPCS Procedure Code

HCPCS code 0762 is the #855 most-billed Medicaid procedure code, with $66.8M in payments across 266K claims from 2018–2024. The national median cost per claim is $102.28. Costs vary widely — the 90th percentile is $937.82 per claim, 9.2× the median.

Total Paid

$66.8M

0.01% of all spending

Total Claims

266K

Providers

160

Avg Cost/Claim

$251

National Cost Distribution

How much do providers bill per claim for 0762? Based on 150 providers billing this code nationally.

Median

$102.28

Average

$365.22

Std Dev

$622.11

Max

$4,148.32

Percentile Distribution (Cost per Claim)

p10
$17.88
p25
$49.38
Median
$102.28
p75
$433.14
p90
$937.82
p95
$1,274.23
p99
$3,469.81

50% of providers bill between $49.38 and $433.14 per claim for this code.

90% bill between $17.88 and $937.82.

Top 1% bill above $3,469.81.

About This Procedure

HCPCS code 0762 was billed by 160 providers across 266K claims, totaling $66.8M in Medicaid payments from 2018–2024. This code was used for 159K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$102.28

Providers Billing

150

National Spending

$66.8M

Avg/Median Ratio

3.57×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0762

#ProviderTotal Paid
11538157508$7.5M
2Bakersfield Memorial Hospital

Bakersfield, CA · General Acute Care Hospital

$5.6M
3Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$5.6M
41104981661$5.0M
51659359446$2.4M
6Port City Operating Company Llc

Stockton, CA · General Acute Care Hospital

$2.0M
7Kern County Hospital Authority

Bakersfield, CA · General Acute Care Hospital

$2.0M
81184654923$2.0M
91538163886$1.9M
101114367497$1.8M
11Sharp Memorial Hospital

San Diego, CA · General Acute Care Hospital, Women

$1.6M
121699129601$1.3M
131083732853$1.3M
141811946734$1.3M
15Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$1.1M
161225038953$1.1M
17Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$1.1M
18Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$1.0M
19Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$810K
201205852209$781K

Showing top 20 of 160 providers billing this code