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#4895 of 11K

37799

HCPCS Procedure Code

HCPCS code 37799 is the #4,895 most-billed Medicaid procedure code, with $360K in payments across 1,806 claims from 2018–2024. The national median cost per claim is $76.94. Costs vary widely — the 90th percentile is $858.32 per claim, 11.2× the median.

Total Paid

$360K

0.00% of all spending

Total Claims

1,806

Providers

14

Avg Cost/Claim

$200

National Cost Distribution

How much do providers bill per claim for 37799? Based on 14 providers billing this code nationally.

Median

$76.94

Average

$296.04

Std Dev

$457.54

Max

$1,560.73

Percentile Distribution (Cost per Claim)

p10
$16.36
p25
$31.81
Median
$76.94
p75
$254.13
p90
$858.32
p95
$1,147.42
p99
$1,478.07

50% of providers bill between $31.81 and $254.13 per claim for this code.

90% bill between $16.36 and $858.32.

Top 1% bill above $1,478.07.

About This Procedure

HCPCS code 37799 was billed by 14 providers across 1,806 claims, totaling $360K in Medicaid payments from 2018–2024. This code was used for 1,435 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$76.94

Providers Billing

14

National Spending

$360K

Avg/Median Ratio

3.85×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 37799

#ProviderTotal Paid
11710312699$137K
21477509529$86K
31720388267$65K
4Summa Health System

Akron, OH · General Acute Care Hospital

$24K
51972502227$20K
61376624981$13K
7Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital

$4K
81205947132$4K
91679769434$2K
101831130723$1K
111447200126$1K
121548393127$960
131669982492$558
141770220972$430

Showing top 14 of 14 providers billing this code