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#6351 of 11K

76812

HCPCS Procedure Code

HCPCS code 76812 is the #6,351 most-billed Medicaid procedure code, with $72K in payments across 692 claims from 2018–2024. The national median cost per claim is $53.42. Costs vary widely — the 90th percentile is $113.75 per claim, 2.1× the median.

Total Paid

$72K

0.00% of all spending

Total Claims

692

Providers

13

Avg Cost/Claim

$104

National Cost Distribution

How much do providers bill per claim for 76812? Based on 12 providers billing this code nationally.

Median

$53.42

Average

$72.00

Std Dev

$51.91

Max

$198.08

Percentile Distribution (Cost per Claim)

p10
$27.46
p25
$33.87
Median
$53.42
p75
$95.58
p90
$113.75
p95
$151.78
p99
$188.82

50% of providers bill between $33.87 and $95.58 per claim for this code.

90% bill between $27.46 and $113.75.

Top 1% bill above $188.82.

About This Procedure

HCPCS code 76812 was billed by 13 providers across 692 claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 654 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.42

Providers Billing

12

National Spending

$72K

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76812

#ProviderTotal Paid
11053648964$36K
2Harbinder Brar

Riverside, CA · Obstetrics & Gynecology Maternal & Fetal Medicine

$24K
3Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$3K
4St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$3K
51184662579$2K
6Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$1K
71447299797$742
81972677235$713
91639104854$646
10Mount Sinai Hospital

New York, NY · Ambulance

$587
11Multicare Health System

Tacoma, WA · Community/Behavioral Health

$447
121265761506$277
13State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$0

Showing top 13 of 13 providers billing this code