#2643 of 11K

66761

HCPCS Procedure Code

HCPCS code 66761 is the #2,643 most-billed Medicaid procedure code, with $4.4M in payments across 27K claims from 2018–2024. The national median cost per claim is $159.16.

Total Paid

$4.4M

0.00% of all spending

Total Claims

27K

Providers

Avg Cost/Claim

$161

National Cost Distribution

How much do providers bill per claim for 66761? Based on 81 providers billing this code nationally.

Median

$159.16

Average

$177.12

Std Dev

$114.06

Max

$664.90

Percentile Distribution (Cost per Claim)

p10

$63.26

p25

$89.17

Median

$159.16

p75

$237.84

p90

$312.89

p95

$334.38

p99

$557.69

50% of providers bill between $89.17 and $237.84 per claim for this code.

90% bill between $63.26 and $312.89.

Top 1% bill above $557.69.

About This Procedure

HCPCS code 66761 was billed by 81 providers across 27K claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$159.16

Providers Billing

National Spending

$4.4M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 66761

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1386842854	$363K	$302.66	1.9× median	Above 75th
2	1588703995	$354K	$137.57	0.9× median	Below Median
3	1184736357	$349K	$136.75	0.9× median	Below Median
4	1730181868	$338K	$146.55	0.9× median	Below Median
5	1780619692	$215K	$100.03	0.6× median	Below Median
6	1376593863	$196K	$126.25	0.8× median	Below Median
7	1124001151	$192K	$171.80	1.1× median	Above Median
8	1548201122	$190K	$156.76	1.0× median	Below Median
9	1992946180	$161K	$316.33	2.0× median	Top 10%
10	1649218009	$155K	$334.38	2.1× median	Top 10%
11	1508132564	$123K	$159.43	1.0× median	Above Median
12	1346356987	$110K	$182.67	1.1× median	Above Median
13	1154657112	$104K	$263.52	1.7× median	Above 75th
14	1174600316	$98K	$297.85	1.9× median	Above 75th
15	1538178256	$86K	$91.03	0.6× median	Below Median
16	1346663051	$85K	$260.25	1.6× median	Above 75th
17	1306249453	$82K	$392.66	2.5× median	Top 10%
18	1114931052	$82K	$146.90	0.9× median	Below Median
19	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$82K	$664.90	4.2× median	Top 1%
20	1306807789	$82K	$137.77	0.9× median	Below Median

Showing top 20 of 81 providers billing this code

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