76872
HCPCS Procedure Code
HCPCS code 76872 is the #2,502 most-billed Medicaid procedure code, with $5.3M in payments across 79K claims from 2018–2024. The national median cost per claim is $53.54. Costs vary widely — the 90th percentile is $111.20 per claim, 2.1× the median.
Total Paid
$5.3M
0.00% of all spending
Total Claims
79K
Providers
144
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 76872? Based on 135 providers billing this code nationally.
Median
$53.54
Average
$58.35
Std Dev
$39.22
Max
$145.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.75 and $90.53 per claim for this code.
90% bill between $7.49 and $111.20.
Top 1% bill above $144.87.
About This Procedure
HCPCS code 76872 was billed by 144 providers across 79K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 76K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$53.54
Providers Billing
135
National Spending
$5.3M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76872
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285777326 | $329K |
| 2 | 1396794574 | $303K |
| 3 | 1710282082 | $295K |
| 4 | 1053315614 | $286K |
| 5 | 1154430148 | $245K |
| 6 | 1790949584 | $240K |
| 7 | 1215940796 | $240K |
| 8 | 1740433325 | $239K |
| 9 | 1336280429 | $238K |
| 10 | 1003141573 | $194K |
| 11 | 1477631315 | $177K |
| 12 | 1356303739 | $158K |
| 13 | 1285930016 | $149K |
| 14 | 1548567498 | $140K |
| 15 | 1427022649 | $135K |
| 16 | 1437172525 | $133K |
| 17 | 1710261615 | $117K |
| 18 | 1295023547 | $111K |
| 19 | 1952328718 | $109K |
| 20 | 1902999428 | $99K |
Showing top 20 of 144 providers billing this code