76881
HCPCS Procedure Code
HCPCS code 76881 is the #1,519 most-billed Medicaid procedure code, with $20.3M in payments across 396K claims from 2018–2024. The national median cost per claim is $45.18. Costs vary widely — the 90th percentile is $99.67 per claim, 2.2× the median.
Total Paid
$20.3M
0.00% of all spending
Total Claims
396K
Providers
551
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 76881? Based on 543 providers billing this code nationally.
Median
$45.18
Average
$50.42
Std Dev
$43.54
Max
$510.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.25 and $67.11 per claim for this code.
90% bill between $7.54 and $99.67.
Top 1% bill above $158.86.
About This Procedure
HCPCS code 76881 was billed by 551 providers across 396K claims, totaling $20.3M in Medicaid payments from 2018–2024. This code was used for 287K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$45.18
Providers Billing
543
National Spending
$20.3M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76881
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720282585 | $1.4M |
| 2 | 1285798033 | $1.1M |
| 3 | 1578631727 | $573K |
| 4 | 1356472039 | $491K |
| 5 | 1831205236 | $477K |
| 6 | 1861597072 | $476K |
| 7 | 1427165596 | $432K |
| 8 | 1275630527 | $428K |
| 9 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $422K |
| 10 | 1861593063 | $357K |
| 11 | 1073702635 | $335K |
| 12 | 1750453940 | $315K |
| 13 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $305K |
| 14 | 1366501546 | $304K |
| 15 | 1477570315 | $303K |
| 16 | 1336500305 | $259K |
| 17 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $256K |
| 18 | 1558356493 | $244K |
| 19 | 1740228469 | $241K |
| 20 | 1700202207 | $236K |
Showing top 20 of 551 providers billing this code