76498
HCPCS Procedure Code
HCPCS code 76498 is the #5,108 most-billed Medicaid procedure code, with $288K in payments across 2K claims from 2018–2024. The national median cost per claim is $54.16. Costs vary widely — the 90th percentile is $382.76 per claim, 7.1× the median.
Total Paid
$288K
0.00% of all spending
Total Claims
2K
Providers
10
Avg Cost/Claim
$140
National Cost Distribution
How much do providers bill per claim for 76498? Based on 10 providers billing this code nationally.
Median
$54.16
Average
$186.48
Std Dev
$350.76
Max
$1,156.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $44.59 and $103.44 per claim for this code.
90% bill between $21.51 and $382.76.
Top 1% bill above $1,079.52.
About This Procedure
HCPCS code 76498 was billed by 10 providers across 2K claims, totaling $288K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.16
Providers Billing
10
National Spending
$288K
Avg/Median Ratio
3.44×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 76498
| # | Provider | Total Paid |
|---|---|---|
| 1 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $193K |
| 2 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $29K |
| 3 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $25K |
| 4 | 1366459570 | $14K |
| 5 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $11K |
| 6 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $8K |
| 7 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $4K |
| 8 | North Shore-lij Medical Pc Great Neck, NY · Urology | $2K |
| 9 | 1356786073 | $532 |
| 10 | 1629327887 | $442 |
Showing top 10 of 10 providers billing this code