76821
HCPCS Procedure Code
HCPCS code 76821 is the #1,250 most-billed Medicaid procedure code, with $31.1M in payments across 554K claims from 2018–2024. The national median cost per claim is $46.75.
Total Paid
$31.1M
0.00% of all spending
Total Claims
554K
Providers
437
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 76821? Based on 432 providers billing this code nationally.
Median
$46.75
Average
$52.55
Std Dev
$35.50
Max
$424.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.95 and $68.68 per claim for this code.
90% bill between $22.03 and $86.58.
Top 1% bill above $156.73.
About This Procedure
HCPCS code 76821 was billed by 437 providers across 554K claims, totaling $31.1M in Medicaid payments from 2018–2024. This code was used for 340K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.75
Providers Billing
432
National Spending
$31.1M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76821
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437501988 | $2.3M |
| 2 | 1124040076 | $2.3M |
| 3 | 1770724676 | $1.3M |
| 4 | 1376565952 | $1.3M |
| 5 | 1104973064 | $1.3M |
| 6 | Community Medical Associates, Inc. Louisville, KY · Clinical Neuropsychologist | $936K |
| 7 | 1144252990 | $794K |
| 8 | 1831495712 | $661K |
| 9 | 1164857512 | $653K |
| 10 | 1205859691 | $600K |
| 11 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $537K |
| 12 | 1821229568 | $474K |
| 13 | 1881817930 | $460K |
| 14 | 1174866743 | $435K |
| 15 | 1396970109 | $428K |
| 16 | 1265414932 | $417K |
| 17 | 1124139514 | $409K |
| 18 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $405K |
| 19 | 1518326990 | $398K |
| 20 | 1780069138 | $395K |
Showing top 20 of 437 providers billing this code