77012
HCPCS Procedure Code
HCPCS code 77012 is the #3,702 most-billed Medicaid procedure code, with $1.3M in payments across 24K claims from 2018–2024. The national median cost per claim is $32.19. Costs vary widely — the 90th percentile is $159.02 per claim, 4.9× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
24K
Providers
165
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for 77012? Based on 141 providers billing this code nationally.
Median
$32.19
Average
$70.82
Std Dev
$131.67
Max
$843.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.36 and $52.88 per claim for this code.
90% bill between $10.37 and $159.02.
Top 1% bill above $699.81.
About This Procedure
HCPCS code 77012 was billed by 165 providers across 24K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.19
Providers Billing
141
National Spending
$1.3M
Avg/Median Ratio
2.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 77012
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $129K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $129K |
| 3 | 1740283324 | $109K |
| 4 | Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health | $101K |
| 5 | 1760478549 | $97K |
| 6 | 1275566200 | $85K |
| 7 | 1679529978 | $79K |
| 8 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $50K |
| 9 | 1679660617 | $43K |
| 10 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $35K |
| 11 | 1447276605 | $30K |
| 12 | 1487608931 | $26K |
| 13 | 1508942681 | $25K |
| 14 | 1780635078 | $24K |
| 15 | 1770690695 | $22K |
| 16 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $22K |
| 17 | 1942553615 | $20K |
| 18 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $19K |
| 19 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $18K |
| 20 | 1457339277 | $16K |
Showing top 20 of 165 providers billing this code