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#7082 of 11K

76516

HCPCS Procedure Code

HCPCS code 76516 is the #7,082 most-billed Medicaid procedure code, with $29K in payments across 983 claims from 2018–2024. The national median cost per claim is $26.35. Costs vary widely — the 90th percentile is $59.10 per claim, 2.2× the median.

Total Paid

$29K

0.00% of all spending

Total Claims

983

Providers

13

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 76516? Based on 13 providers billing this code nationally.

Median

$26.35

Average

$30.96

Std Dev

$21.61

Max

$72.24

Percentile Distribution (Cost per Claim)

p10
$9.22
p25
$11.40
Median
$26.35
p75
$48.90
p90
$59.10
p95
$65.12
p99
$70.82

50% of providers bill between $11.40 and $48.90 per claim for this code.

90% bill between $9.22 and $59.10.

Top 1% bill above $70.82.

About This Procedure

HCPCS code 76516 was billed by 13 providers across 983 claims, totaling $29K in Medicaid payments from 2018–2024. This code was used for 926 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.35

Providers Billing

13

National Spending

$29K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76516

#ProviderTotal Paid
11831183268$9K
21316494123$4K
31639101751$4K
41598862286$3K
5Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$2K
61306990007$2K
71578574828$2K
81841225786$1K
91679660617$975
10Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$459
111952301004$451
121932574332$408
131568495299$296

Showing top 13 of 13 providers billing this code