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#609 of 11K

76820

HCPCS Procedure Code

HCPCS code 76820 is the #609 most-billed Medicaid procedure code, with $127.4M in payments across 3.1M claims from 2018–2024. The national median cost per claim is $31.79.

Total Paid

$127.4M

0.01% of all spending

Total Claims

3.1M

Providers

2K

Avg Cost/Claim

$40

National Cost Distribution

How much do providers bill per claim for 76820? Based on 1K providers billing this code nationally.

Median

$31.79

Average

$35.85

Std Dev

$25.10

Max

$359.20

Percentile Distribution (Cost per Claim)

p10
$14.31
p25
$19.96
Median
$31.79
p75
$44.33
p90
$62.94
p95
$74.37
p99
$122.96

50% of providers bill between $19.96 and $44.33 per claim for this code.

90% bill between $14.31 and $62.94.

Top 1% bill above $122.96.

About This Procedure

HCPCS code 76820 was billed by 2K providers across 3.1M claims, totaling $127.4M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.79

Providers Billing

1K

National Spending

$127.4M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76820

#ProviderTotal Paid
11376565952$10.9M
21003811381$5.2M
31770724676$4.8M
41093829210$4.3M
51205859691$2.7M
6State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$2.5M
71437501988$1.7M
81972695260$1.6M
91760421382$1.4M
101124040076$1.4M
111205074739$1.4M
12Mid-south Perinatal Associates Pc

Jackson, TN · Obstetrics & Gynecology, Maternal & Fetal Medicine

$1.3M
131104973064$1.3M
141982799375$1.2M
151568486264$1.2M
161730259805$1.1M
171215079678$1.0M
181144252990$1.0M
19Community Medical Associates, Inc.

Louisville, KY · Clinical Neuropsychologist

$1.0M
201831530906$966K

Showing top 20 of 2K providers billing this code