76870
HCPCS Procedure Code
HCPCS code 76870 is the #1,305 most-billed Medicaid procedure code, with $28.1M in payments across 556K claims from 2018–2024. The national median cost per claim is $34.90. Costs vary widely — the 90th percentile is $98.38 per claim, 2.8× the median.
Total Paid
$28.1M
0.00% of all spending
Total Claims
556K
Providers
1,273
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 76870? Based on 1,249 providers billing this code nationally.
Median
$34.90
Average
$49.00
Std Dev
$42.37
Max
$505.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.29 and $69.27 per claim for this code.
90% bill between $12.24 and $98.38.
Top 1% bill above $190.12.
About This Procedure
HCPCS code 76870 was billed by 1,273 providers across 556K claims, totaling $28.1M in Medicaid payments from 2018–2024. This code was used for 525K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.90
Providers Billing
1,249
National Spending
$28.1M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76870
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $956K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $452K |
| 3 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $435K |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $415K |
| 5 | 1649726738 | $403K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $369K |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $367K |
| 8 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $346K |
| 9 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $320K |
| 10 | Children's Hospital Corporation Boston, MA · Clinic/Center | $285K |
| 11 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $282K |
| 12 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $275K |
| 13 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $275K |
| 14 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $272K |
| 15 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $270K |
| 16 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $263K |
| 17 | 1740283324 | $235K |
| 18 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $227K |
| 19 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $224K |
| 20 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $220K |
Showing top 20 of 1,273 providers billing this code