76885
HCPCS Procedure Code
HCPCS code 76885 is the #2,414 most-billed Medicaid procedure code, with $6.0M in payments across 70K claims from 2018–2024. The national median cost per claim is $42.27. Costs vary widely — the 90th percentile is $145.36 per claim, 3.4× the median.
Total Paid
$6.0M
0.00% of all spending
Total Claims
70K
Providers
244
Avg Cost/Claim
$85
National Cost Distribution
How much do providers bill per claim for 76885? Based on 244 providers billing this code nationally.
Median
$42.27
Average
$69.58
Std Dev
$55.79
Max
$305.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.39 and $99.54 per claim for this code.
90% bill between $21.63 and $145.36.
Top 1% bill above $248.95.
About This Procedure
HCPCS code 76885 was billed by 244 providers across 70K claims, totaling $6.0M in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.27
Providers Billing
244
National Spending
$6.0M
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 76885
| # | Provider | Total Paid |
|---|---|---|
| 1 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $325K |
| 2 | 1649726738 | $278K |
| 3 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $262K |
| 4 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $261K |
| 5 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $206K |
| 6 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $205K |
| 7 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $186K |
| 8 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $167K |
| 9 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $160K |
| 10 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $152K |
| 11 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $148K |
| 12 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $143K |
| 13 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $133K |
| 14 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $131K |
| 15 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $129K |
| 16 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $126K |
| 17 | 1306952726 | $120K |
| 18 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $119K |
| 19 | Ihc Health Services, Inc. Salt Lake City, UT · Psychiatric Unit | $119K |
| 20 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $109K |
Showing top 20 of 244 providers billing this code