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#4853 of 11K

77059

HCPCS Procedure Code

HCPCS code 77059 is the #4,853 most-billed Medicaid procedure code, with $373K in payments across 1,548 claims from 2018–2024. The national median cost per claim is $256.42. Costs vary widely — the 90th percentile is $751.04 per claim, 2.9× the median.

Total Paid

$373K

0.00% of all spending

Total Claims

1,548

Providers

18

Avg Cost/Claim

$241

National Cost Distribution

How much do providers bill per claim for 77059? Based on 18 providers billing this code nationally.

Median

$256.42

Average

$352.76

Std Dev

$374.38

Max

$1,453.24

Percentile Distribution (Cost per Claim)

p10
$48.15
p25
$128.07
Median
$256.42
p75
$382.99
p90
$751.04
p95
$1,149.65
p99
$1,392.53

50% of providers bill between $128.07 and $382.99 per claim for this code.

90% bill between $48.15 and $751.04.

Top 1% bill above $1,392.53.

About This Procedure

HCPCS code 77059 was billed by 18 providers across 1,548 claims, totaling $373K in Medicaid payments from 2018–2024. This code was used for 1,250 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$256.42

Providers Billing

18

National Spending

$373K

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77059

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$99K
2Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$80K
31033183603$42K
41972004489$39K
5The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$20K
6The Cooper Health System

Camden, NJ · General Acute Care Hospital

$19K
71790747491$14K
81740283324$14K
91487608931$11K
101811219702$7K
111821082918$6K
121114081056$5K
131679542393$4K
141376667022$4K
151558310474$3K
161104145549$2K
171558463927$2K
181679529978$597

Showing top 18 of 18 providers billing this code