76376
HCPCS Procedure Code
HCPCS code 76376 is the #2,056 most-billed Medicaid procedure code, with $9.6M in payments across 822K claims from 2018–2024. The national median cost per claim is $5.53. Costs vary widely — the 90th percentile is $27.15 per claim, 4.9× the median.
Total Paid
$9.6M
0.00% of all spending
Total Claims
822K
Providers
867
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 76376? Based on 765 providers billing this code nationally.
Median
$5.53
Average
$14.44
Std Dev
$34.03
Max
$484.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.37 and $11.05 per claim for this code.
90% bill between $0.94 and $27.15.
Top 1% bill above $133.03.
About This Procedure
HCPCS code 76376 was billed by 867 providers across 822K claims, totaling $9.6M in Medicaid payments from 2018–2024. This code was used for 734K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.53
Providers Billing
765
National Spending
$9.6M
Avg/Median Ratio
2.61×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 76376
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407887003 | $2.0M |
| 2 | 1871655993 | $494K |
| 3 | 1184780355 | $332K |
| 4 | 1336219849 | $315K |
| 5 | 1134172000 | $307K |
| 6 | 1366441370 | $298K |
| 7 | 1811213994 | $287K |
| 8 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $260K |
| 9 | 1720561186 | $213K |
| 10 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $167K |
| 11 | 1205074739 | $155K |
| 12 | 1801826680 | $151K |
| 13 | Montefiore Medical Center Bronx, NY · Anesthesiology | $149K |
| 14 | 1477582526 | $132K |
| 15 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $94K |
| 16 | 1093768723 | $91K |
| 17 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $89K |
| 18 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $85K |
| 19 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $81K |
| 20 | 1487868097 | $78K |
Showing top 20 of 867 providers billing this code