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#2094 of 11K

77049

HCPCS Procedure Code

HCPCS code 77049 is the #2,094 most-billed Medicaid procedure code, with $9.1M in payments across 35K claims from 2018–2024. The national median cost per claim is $229.25.

Total Paid

$9.1M

0.00% of all spending

Total Claims

35K

Providers

184

Avg Cost/Claim

$262

National Cost Distribution

How much do providers bill per claim for 77049? Based on 184 providers billing this code nationally.

Median

$229.25

Average

$250.42

Std Dev

$229.50

Max

$2,352.29

Percentile Distribution (Cost per Claim)

p10
$64.02
p25
$93.33
Median
$229.25
p75
$325.92
p90
$413.14
p95
$612.22
p99
$860.55

50% of providers bill between $93.33 and $325.92 per claim for this code.

90% bill between $64.02 and $413.14.

Top 1% bill above $860.55.

About This Procedure

HCPCS code 77049 was billed by 184 providers across 35K claims, totaling $9.1M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$229.25

Providers Billing

184

National Spending

$9.1M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77049

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$1.1M
2Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$751K
31366459570$670K
4Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$639K
51972004489$576K
6Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$303K
71033183603$263K
8Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$257K
91487608931$235K
10Stanford Health Care

Stanford, CA · General Acute Care Hospital

$202K
111235105800$187K
12New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$176K
13The Cooper Health System

Camden, NJ · General Acute Care Hospital

$168K
141558310474$137K
15Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$127K
161790747491$126K
171548315401$123K
181740283324$115K
191427057967$115K
20The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$111K

Showing top 20 of 184 providers billing this code