76513
HCPCS Procedure Code
HCPCS code 76513 is the #3,769 most-billed Medicaid procedure code, with $1.2M in payments across 24K claims from 2018–2024. The national median cost per claim is $45.02. Costs vary widely — the 90th percentile is $94.53 per claim, 2.1× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
24K
Providers
48
Avg Cost/Claim
$50
National Cost Distribution
How much do providers bill per claim for 76513? Based on 46 providers billing this code nationally.
Median
$45.02
Average
$48.33
Std Dev
$30.60
Max
$117.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.65 and $65.05 per claim for this code.
90% bill between $9.94 and $94.53.
Top 1% bill above $114.82.
About This Procedure
HCPCS code 76513 was billed by 48 providers across 24K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$45.02
Providers Billing
46
National Spending
$1.2M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76513
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1083723845 | $201K |
| 2 | 1528140464 | $186K |
| 3 | 1447232913 | $145K |
| 4 | 1063415537 | $135K |
| 5 | 1124015946 | $75K |
| 6 | 1699944298 | $66K |
| 7 | 1679660617 | $58K |
| 8 | 1124214499 | $51K |
| 9 | 1922192343 | $49K |
| 10 | 1588627749 | $44K |
| 11 | 1235167644 | $24K |
| 12 | 1013394360 | $23K |
| 13 | 1356549349 | $20K |
| 14 | 1760507495 | $18K |
| 15 | 1336174374 | $18K |
| 16 | 1841292802 | $12K |
| 17 | 1154657112 | $12K |
| 18 | 1033104773 | $7K |
| 19 | 1568632271 | $6K |
| 20 | 1326262817 | $5K |
Showing top 20 of 48 providers billing this code