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#2983 of 11K

77001

HCPCS Procedure Code

HCPCS code 77001 is the #2,983 most-billed Medicaid procedure code, with $2.8M in payments across 147K claims from 2018–2024. The national median cost per claim is $8.60. Costs vary widely — the 90th percentile is $42.76 per claim, 5.0× the median.

Total Paid

$2.8M

0.00% of all spending

Total Claims

147K

Providers

661

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 77001? Based on 595 providers billing this code nationally.

Median

$8.60

Average

$20.84

Std Dev

$43.94

Max

$522.11

Percentile Distribution (Cost per Claim)

p10
$2.78
p25
$5.51
Median
$8.60
p75
$16.57
p90
$42.76
p95
$76.28
p99
$244.99

50% of providers bill between $5.51 and $16.57 per claim for this code.

90% bill between $2.78 and $42.76.

Top 1% bill above $244.99.

About This Procedure

HCPCS code 77001 was billed by 661 providers across 147K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 126K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.60

Providers Billing

595

National Spending

$2.8M

Avg/Median Ratio

2.42×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 77001

#ProviderTotal Paid
1Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$273K
2Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$192K
3Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$145K
4Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$117K
5Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$85K
6Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$75K
7Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$67K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$64K
9Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$56K
101457339277$55K
11Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$50K
12The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$44K
131740283324$36K
141376719666$32K
151982631222$27K
16The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$25K
171679660617$25K
181992789721$24K
191912956814$24K
201477549756$24K

Showing top 20 of 661 providers billing this code