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#3717 of 11K

76499

HCPCS Procedure Code

HCPCS code 76499 is the #3,717 most-billed Medicaid procedure code, with $1.3M in payments across 14K claims from 2018–2024. The national median cost per claim is $26.14. Costs vary widely — the 90th percentile is $83.01 per claim, 3.2× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

14K

Providers

21

Avg Cost/Claim

$94

National Cost Distribution

How much do providers bill per claim for 76499? Based on 18 providers billing this code nationally.

Median

$26.14

Average

$35.14

Std Dev

$38.32

Max

$132.32

Percentile Distribution (Cost per Claim)

p10
$3.74
p25
$12.16
Median
$26.14
p75
$38.24
p90
$83.01
p95
$130.70
p99
$132.00

50% of providers bill between $12.16 and $38.24 per claim for this code.

90% bill between $3.74 and $83.01.

Top 1% bill above $132.00.

About This Procedure

HCPCS code 76499 was billed by 21 providers across 14K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.14

Providers Billing

18

National Spending

$1.3M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76499

#ProviderTotal Paid
11245643279$1.2M
2University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$51K
3Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$9K
41295247294$8K
5Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$5K
6Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$3K
71598188948$3K
81760628184$2K
91023092053$2K
101700949336$1K
111609915784$1K
121467116095$924
131285845982$635
141053800797$501
151043269798$389
161548210198$388
171881886893$141
181073595179$46
191376093609$0
201447277355$0

Showing top 20 of 21 providers billing this code