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#2190 of 11K

77061

HCPCS Procedure Code

HCPCS code 77061 is the #2,190 most-billed Medicaid procedure code, with $8.1M in payments across 189K claims from 2018–2024. The national median cost per claim is $28.07. Costs vary widely — the 90th percentile is $101.97 per claim, 3.6× the median.

Total Paid

$8.1M

0.00% of all spending

Total Claims

189K

Providers

486

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for 77061? Based on 431 providers billing this code nationally.

Median

$28.07

Average

$42.97

Std Dev

$47.43

Max

$549.00

Percentile Distribution (Cost per Claim)

p10
$6.73
p25
$15.96
Median
$28.07
p75
$55.11
p90
$101.97
p95
$127.94
p99
$152.34

50% of providers bill between $15.96 and $55.11 per claim for this code.

90% bill between $6.73 and $101.97.

Top 1% bill above $152.34.

About This Procedure

HCPCS code 77061 was billed by 486 providers across 189K claims, totaling $8.1M in Medicaid payments from 2018–2024. This code was used for 178K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.07

Providers Billing

431

National Spending

$8.1M

Avg/Median Ratio

1.53×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 77061

#ProviderTotal Paid
1Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$855K
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$362K
3New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$325K
4Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$278K
5Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$266K
6Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$224K
7Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$215K
8The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$186K
9Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$183K
10New York University

Boynton Beach, FL · Anesthesiology

$180K
11North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$156K
12Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$148K
13Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$134K
141619954138$121K
151154367803$116K
16Montefiore Medical Center

Bronx, NY · Anesthesiology

$106K
17The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$100K
18Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$98K
19Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$92K
201295097319$86K

Showing top 20 of 486 providers billing this code