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#393 of 11K

77063

Screening digital breast tomosynthesis, bilateral

Screening digital breast tomosynthesis, bilateral is the #393 most-billed Medicaid procedure code, with $276.4M in payments across 10.6M claims from 2018–2024. The national median cost per claim is $21.41. Costs vary widely — the 90th percentile is $45.36 per claim, 2.1× the median.

Total Paid

$276.4M

0.03% of all spending

Total Claims

10.6M

Providers

5K

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 77063? Based on 5K providers billing this code nationally.

Median

$21.41

Average

$24.81

Std Dev

$23.11

Max

$667.84

Percentile Distribution (Cost per Claim)

p10
$6.86
p25
$13.75
Median
$21.41
p75
$29.95
p90
$45.36
p95
$55.87
p99
$93.65

50% of providers bill between $13.75 and $29.95 per claim for this code.

90% bill between $6.86 and $45.36.

Top 1% bill above $93.65.

About This Procedure

HCPCS code 77063 (Screening digital breast tomosynthesis, bilateral) was billed by 5K providers across 10.6M claims, totaling $276.4M in Medicaid payments from 2018–2024. This code was used for 10.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.41

Providers Billing

5K

National Spending

$276.4M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77063

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

New York, NY · Radiology, Body Imaging

$11.3M
2New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$5.2M
3Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$4.3M
41972004489$3.9M
51629327887$3.3M
6Advanced Radiology P A

Owings Mills, MD · Radiology Diagnostic Radiology

$3.0M
71396707782$2.4M
8The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$2.0M
91790736551$1.9M
10Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$1.8M
111720023997$1.7M
121477523413$1.6M
13The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$1.6M
14Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.6M
151942397880$1.4M
16Brockton Hospital, Inc.

Brockton, MA · General Acute Care Hospital

$1.4M
171497148456$1.4M
18Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$1.3M
191821271727$1.2M
201669408159$1.2M

Showing top 20 of 5K providers billing this code