76981
HCPCS Procedure Code
HCPCS code 76981 is the #2,969 most-billed Medicaid procedure code, with $2.9M in payments across 63K claims from 2018–2024. The national median cost per claim is $42.75. Costs vary widely — the 90th percentile is $98.40 per claim, 2.3× the median.
Total Paid
$2.9M
0.00% of all spending
Total Claims
63K
Providers
282
Avg Cost/Claim
$46
National Cost Distribution
How much do providers bill per claim for 76981? Based on 264 providers billing this code nationally.
Median
$42.75
Average
$49.74
Std Dev
$41.09
Max
$332.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.82 and $73.89 per claim for this code.
90% bill between $9.27 and $98.40.
Top 1% bill above $163.99.
About This Procedure
HCPCS code 76981 was billed by 282 providers across 63K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 58K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.75
Providers Billing
264
National Spending
$2.9M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76981
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1831603505 | $262K |
| 2 | 1295181477 | $214K |
| 3 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $174K |
| 4 | 1972004489 | $154K |
| 5 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $107K |
| 6 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $68K |
| 7 | Holyoke Medical Center, Inc. Holyoke, MA · Clinic/Center, Adult Mental Health | $58K |
| 8 | University Of California Irvine Orange, CA · General Acute Care Hospital | $57K |
| 9 | 1790851095 | $57K |
| 10 | 1720395247 | $56K |
| 11 | 1962537407 | $47K |
| 12 | 1275630527 | $45K |
| 13 | 1710176870 | $43K |
| 14 | 1871633099 | $38K |
| 15 | 1396862116 | $38K |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $33K |
| 17 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $32K |
| 18 | 1811032550 | $32K |
| 19 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $32K |
| 20 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $31K |
Showing top 20 of 282 providers billing this code