Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1302 of 11K

76775

HCPCS Procedure Code

HCPCS code 76775 is the #1,302 most-billed Medicaid procedure code, with $28.2M in payments across 630K claims from 2018–2024. The national median cost per claim is $28.03. Costs vary widely — the 90th percentile is $79.31 per claim, 2.8× the median.

Total Paid

$28.2M

0.00% of all spending

Total Claims

630K

Providers

1K

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for 76775? Based on 1K providers billing this code nationally.

Median

$28.03

Average

$38.68

Std Dev

$36.49

Max

$488.68

Percentile Distribution (Cost per Claim)

p10
$10.07
p25
$16.12
Median
$28.03
p75
$50.61
p90
$79.31
p95
$97.89
p99
$172.62

50% of providers bill between $16.12 and $50.61 per claim for this code.

90% bill between $10.07 and $79.31.

Top 1% bill above $172.62.

About This Procedure

HCPCS code 76775 was billed by 1K providers across 630K claims, totaling $28.2M in Medicaid payments from 2018–2024. This code was used for 591K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.03

Providers Billing

1K

National Spending

$28.2M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76775

#ProviderTotal Paid
1Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$1.4M
2Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$873K
31518989193$734K
4Holyoke Medical Center, Inc.

Holyoke, MA · Clinic/Center, Adult Mental Health

$487K
5Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$476K
61649726738$390K
7Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$366K
81699874248$353K
9Kadlec Regional Medical Center

Richland, WA · General Acute Care Hospital

$352K
10Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$345K
111063966901$344K
12Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$332K
13Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$324K
14Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$321K
15District Hospital Partners L P

Washington, DC · Nurse Practitioner, Family

$312K
16Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$307K
17Berkshire Medical Center, Inc

Pittsfield, MA · General Acute Care Hospital

$300K
181689282147$276K
19Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$270K
201992720932$259K

Showing top 20 of 1K providers billing this code