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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1831183268 | $9K |
| 2 | 1316494123 | $4K |
| 3 | 1639101751 | $4K |
| 4 | 1598862286 | $3K |
| 5 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $2K |
| 6 | 1306990007 | $2K |
| 7 | 1578574828 | $2K |
| 8 | 1841225786 | $1K |
| 9 | 1679660617 | $975 |
| 10 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $459 |
| 11 | 1952301004 | $451 |
| 12 | 1932574332 | $408 |
| 13 | 1568495299 | $296 |
Showing top 13 of 13 providers billing this code