76000
HCPCS Procedure Code
HCPCS code 76000 is the #1,727 most-billed Medicaid procedure code, with $15.2M in payments across 338K claims from 2018–2024. The national median cost per claim is $17.70. Costs vary widely — the 90th percentile is $107.35 per claim, 6.1× the median.
Total Paid
$15.2M
0.00% of all spending
Total Claims
338K
Providers
681
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 76000? Based on 623 providers billing this code nationally.
Median
$17.70
Average
$42.37
Std Dev
$127.76
Max
$2,968.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.19 and $49.25 per claim for this code.
90% bill between $2.96 and $107.35.
Top 1% bill above $250.76.
About This Procedure
HCPCS code 76000 was billed by 681 providers across 338K claims, totaling $15.2M in Medicaid payments from 2018–2024. This code was used for 298K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.70
Providers Billing
623
National Spending
$15.2M
Avg/Median Ratio
2.39×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 76000
| # | Provider | Total Paid |
|---|---|---|
| 1 | Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner | $2.9M |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $575K |
| 3 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $566K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $421K |
| 5 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $316K |
| 6 | 1295840007 | $227K |
| 7 | 1700886322 | $216K |
| 8 | 1003305236 | $214K |
| 9 | 1649726738 | $209K |
| 10 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $200K |
| 11 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $196K |
| 12 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $180K |
| 13 | 1710491253 | $178K |
| 14 | 1073517058 | $177K |
| 15 | 1245365196 | $161K |
| 16 | 1306873872 | $150K |
| 17 | 1669578324 | $147K |
| 18 | 1245643279 | $144K |
| 19 | 1033270699 | $140K |
| 20 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $135K |
Showing top 20 of 681 providers billing this code