75716
HCPCS Procedure Code
HCPCS code 75716 is the #4,272 most-billed Medicaid procedure code, with $701K in payments across 10K claims from 2018–2024. The national median cost per claim is $38.10. Costs vary widely — the 90th percentile is $506.96 per claim, 13.3× the median.
Total Paid
$701K
0.00% of all spending
Total Claims
10K
Providers
61
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 75716? Based on 61 providers billing this code nationally.
Median
$38.10
Average
$115.62
Std Dev
$193.73
Max
$745.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.02 and $83.52 per claim for this code.
90% bill between $4.97 and $506.96.
Top 1% bill above $717.69.
About This Procedure
HCPCS code 75716 was billed by 61 providers across 10K claims, totaling $701K in Medicaid payments from 2018–2024. This code was used for 8,271 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.10
Providers Billing
61
National Spending
$701K
Avg/Median Ratio
3.03×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 75716
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205835485 | $167K |
| 2 | 1578949889 | $145K |
| 3 | 1033163092 | $84K |
| 4 | 1598875460 | $40K |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $23K |
| 6 | 1427360700 | $22K |
| 7 | 1811939465 | $22K |
| 8 | 1194202234 | $20K |
| 9 | 1194020610 | $20K |
| 10 | 1386754273 | $15K |
| 11 | 1497224174 | $13K |
| 12 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $13K |
| 13 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $11K |
| 14 | 1609830173 | $9K |
| 15 | 1083680003 | $8K |
| 16 | 1477591444 | $7K |
| 17 | 1700154226 | $7K |
| 18 | 1124450572 | $6K |
| 19 | 1487912416 | $6K |
| 20 | 1689825499 | $6K |
Showing top 20 of 61 providers billing this code