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#3650 of 11K

77003

HCPCS Procedure Code

HCPCS code 77003 is the #3,650 most-billed Medicaid procedure code, with $1.4M in payments across 111K claims from 2018–2024. The national median cost per claim is $11.36. Costs vary widely — the 90th percentile is $51.77 per claim, 4.6× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

111K

Providers

275

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 77003? Based on 187 providers billing this code nationally.

Median

$11.36

Average

$20.18

Std Dev

$28.13

Max

$164.88

Percentile Distribution (Cost per Claim)

p10
$0.63
p25
$2.20
Median
$11.36
p75
$22.04
p90
$51.77
p95
$77.35
p99
$144.19

50% of providers bill between $2.20 and $22.04 per claim for this code.

90% bill between $0.63 and $51.77.

Top 1% bill above $144.19.

About This Procedure

HCPCS code 77003 was billed by 275 providers across 111K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 87K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.36

Providers Billing

187

National Spending

$1.4M

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 77003

#ProviderTotal Paid
11487102208$137K
21770624702$120K
31255745741$96K
41457319485$69K
51881033900$68K
61912402520$67K
71497747356$67K
81467418574$63K
91548557317$59K
101427446053$54K
111033497714$35K
121780066373$28K
131245643279$28K
141790810745$26K
151801821962$25K
16Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$25K
171437111028$21K
181144526773$20K
191033495221$20K
201972723773$16K

Showing top 20 of 275 providers billing this code