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#2498 of 11K

77073

HCPCS Procedure Code

HCPCS code 77073 is the #2,498 most-billed Medicaid procedure code, with $5.3M in payments across 184K claims from 2018–2024. The national median cost per claim is $19.29. Costs vary widely — the 90th percentile is $63.85 per claim, 3.3× the median.

Total Paid

$5.3M

0.00% of all spending

Total Claims

184K

Providers

330

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 77073? Based on 328 providers billing this code nationally.

Median

$19.29

Average

$29.07

Std Dev

$33.96

Max

$370.86

Percentile Distribution (Cost per Claim)

p10
$7.29
p25
$10.14
Median
$19.29
p75
$34.72
p90
$63.85
p95
$90.07
p99
$147.72

50% of providers bill between $10.14 and $34.72 per claim for this code.

90% bill between $7.29 and $63.85.

Top 1% bill above $147.72.

About This Procedure

HCPCS code 77073 was billed by 330 providers across 184K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 173K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.29

Providers Billing

328

National Spending

$5.3M

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 77073

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$372K
21326187097$355K
3Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$337K
4Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$243K
5The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$207K
6Driscoll Childrens Hospital

Corpus Christi, TX · Speech-Language Pathologist,

$190K
7Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$142K
8Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$136K
91992727663$110K
10The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$103K
11Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$100K
12Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$96K
131669578324$90K
14Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$87K
15University Hospital

Newark, NJ · General Acute Care Hospital

$86K
16Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$83K
17Stanford Health Care

Stanford, CA · General Acute Care Hospital

$78K
181679617849$74K
19Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$73K
20The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$72K

Showing top 20 of 330 providers billing this code