#2463 of 11K

76377

HCPCS Procedure Code

HCPCS code 76377 is the #2,463 most-billed Medicaid procedure code, with $5.6M in payments across 339K claims from 2018–2024. The national median cost per claim is $20.27. Costs vary widely — the 90th percentile is $51.86 per claim, 2.6× the median.

Total Paid

$5.6M

0.00% of all spending

Total Claims

339K

Providers

485

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 76377? Based on 409 providers billing this code nationally.

Median

$20.27

Average

$26.08

Std Dev

$34.63

Max

$498.06

Percentile Distribution (Cost per Claim)

p10

$2.05

p25

$9.72

Median

$20.27

p75

$30.38

p90

$51.86

p95

$70.32

p99

$137.39

50% of providers bill between $9.72 and $30.38 per claim for this code.

90% bill between $2.05 and $51.86.

Top 1% bill above $137.39.

About This Procedure

HCPCS code 76377 was billed by 485 providers across 339K claims, totaling $5.6M in Medicaid payments from 2018–2024. This code was used for 306K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.27

Providers Billing

409

National Spending

$5.6M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76377

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1871528026	$235K	$21.01	1.0× median	Above Median
2	1972004489	$221K	$15.49	0.8× median	Below Median
3	1740283324	$205K	$20.94	1.0× median	Above Median
4	1922078492	$178K	$45.46	2.2× median	Above 75th
5	1487697215	$173K	$127.47	6.3× median	Top 10%
6	1376685446	$157K	$38.41	1.9× median	Above 75th
7	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$140K	$48.44	2.4× median	Above 75th
8	1104852664	$138K	$14.08	0.7× median	Below Median
9	Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children	$137K	$69.33	3.4× median	Top 10%
10	1093718496	$121K	$19.36	1.0× median	Below Median
11	1477582526	$121K	$26.59	1.3× median	Above Median
12	1992994214	$115K	$23.20	1.1× median	Above Median
13	1154400935	$106K	$20.96	1.0× median	Above Median
14	1548439680	$99K	$30.33	1.5× median	Above Median
15	1073785044	$97K	$7.32	0.4× median	Below Median
16	1659347771	$96K	$29.27	1.4× median	Above Median
17	1952331936	$90K	$20.78	1.0× median	Above Median
18	1366436073	$81K	$33.51	1.7× median	Above 75th
19	1104955269	$75K	$35.51	1.8× median	Above 75th
20	1780138461	$75K	$24.74	1.2× median	Above Median

Showing top 20 of 485 providers billing this code

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