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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194832949 | $518K |
| 2 | 1033553847 | $417K |
| 3 | 1255315354 | $392K |
| 4 | 1437282464 | $372K |
| 5 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $163K |
| 6 | 1609897834 | $121K |
| 7 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $72K |
| 8 | 1417959701 | $67K |
| 9 | 1700058575 | $66K |
| 10 | 1952705410 | $49K |
| 11 | 1407821523 | $40K |
| 12 | Yale University New Haven, CT · Internal Medicine | $28K |
| 13 | 1063480218 | $25K |
| 14 | University Of California Irvine Orange, CA · General Acute Care Hospital | $21K |
| 15 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $20K |
| 16 | 1376618843 | $16K |
| 17 | 1750399218 | $15K |
| 18 | 1770044208 | $14K |
| 19 | 1306843388 | $14K |
| 20 | 1801136734 | $13K |
Showing top 20 of 81 providers billing this code