76642
HCPCS Procedure Code
HCPCS code 76642 is the #544 most-billed Medicaid procedure code, with $153.6M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $32.06. Costs vary widely — the 90th percentile is $96.57 per claim, 3.0× the median.
Total Paid
$153.6M
0.01% of all spending
Total Claims
3.3M
Providers
3K
Avg Cost/Claim
$46
National Cost Distribution
How much do providers bill per claim for 76642? Based on 3K providers billing this code nationally.
Median
$32.06
Average
$45.13
Std Dev
$35.28
Max
$473.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.13 and $58.69 per claim for this code.
90% bill between $16.93 and $96.57.
Top 1% bill above $156.90.
About This Procedure
HCPCS code 76642 was billed by 3K providers across 3.3M claims, totaling $153.6M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.06
Providers Billing
3K
National Spending
$153.6M
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76642
| # | Provider | Total Paid |
|---|---|---|
| 1 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $4.7M |
| 2 | 1497148456 | $2.3M |
| 3 | 1972004489 | $1.9M |
| 4 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $1.8M |
| 5 | Advanced Radiology P A Owings Mills, MD · Radiology Diagnostic Radiology | $1.6M |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.4M |
| 7 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $1.1M |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.1M |
| 9 | District Hospital Partners L P Washington, DC · Nurse Practitioner, Family | $1.1M |
| 10 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $1.0M |
| 11 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.0M |
| 12 | 1558416974 | $989K |
| 13 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $910K |
| 14 | 1841261989 | $899K |
| 15 | The Lowell General Hospital Lowell, MA · Pharmacy, Institutional Pharmacy | $802K |
| 16 | 1396707782 | $776K |
| 17 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $776K |
| 18 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $770K |
| 19 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $697K |
| 20 | 1568416147 | $674K |
Showing top 20 of 3K providers billing this code