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#3082 of 11K

76998

HCPCS Procedure Code

HCPCS code 76998 is the #3,082 most-billed Medicaid procedure code, with $2.6M in payments across 42K claims from 2018–2024. The national median cost per claim is $57.59. Costs vary widely — the 90th percentile is $140.62 per claim, 2.4× the median.

Total Paid

$2.6M

0.00% of all spending

Total Claims

42K

Providers

81

Avg Cost/Claim

$61

National Cost Distribution

How much do providers bill per claim for 76998? Based on 70 providers billing this code nationally.

Median

$57.59

Average

$68.65

Std Dev

$53.19

Max

$236.42

Percentile Distribution (Cost per Claim)

p10
$10.09
p25
$33.27
Median
$57.59
p75
$108.66
p90
$140.62
p95
$169.33
p99
$202.29

50% of providers bill between $33.27 and $108.66 per claim for this code.

90% bill between $10.09 and $140.62.

Top 1% bill above $202.29.

About This Procedure

HCPCS code 76998 was billed by 81 providers across 42K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.59

Providers Billing

70

National Spending

$2.6M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76998

#ProviderTotal Paid
11194832949$518K
21033553847$417K
31255315354$392K
41437282464$372K
5Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$163K
61609897834$121K
7St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$72K
81417959701$67K
91700058575$66K
101952705410$49K
111407821523$40K
12Yale University

New Haven, CT · Internal Medicine

$28K
131063480218$25K
14University Of California Irvine

Orange, CA · General Acute Care Hospital

$21K
15Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$20K
161376618843$16K
171750399218$15K
181770044208$14K
191306843388$14K
201801136734$13K

Showing top 20 of 81 providers billing this code