#5327 of 11K

77081

HCPCS Procedure Code

HCPCS code 77081 is the #5,327 most-billed Medicaid procedure code, with $228K in payments across 18K claims from 2018–2024. The national median cost per claim is $7.96. Costs vary widely — the 90th percentile is $26.28 per claim, 3.3× the median.

Total Paid

$228K

0.00% of all spending

Total Claims

18K

Providers

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for 77081? Based on 70 providers billing this code nationally.

Median

$7.96

Average

$13.61

Std Dev

$16.43

Max

$104.80

Percentile Distribution (Cost per Claim)

p10

$2.06

p25

$3.97

Median

$7.96

p75

$17.03

p90

$26.28

p95

$40.39

p99

$74.16

50% of providers bill between $3.97 and $17.03 per claim for this code.

90% bill between $2.06 and $26.28.

Top 1% bill above $74.16.

About This Procedure

HCPCS code 77081 was billed by 78 providers across 18K claims, totaling $228K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.96

Providers Billing

National Spending

$228K

Avg/Median Ratio

1.71×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 77081

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1487740957	$46K	$56.80	7.1× median	Top 10%
2	Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children	$33K	$104.80	13.2× median	Top 1%
3	1265422596	$21K	$6.50	0.8× median	Below Median
4	Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging	$20K	$15.61	2.0× median	Above Median
5	1194765438	$15K	$5.86	0.7× median	Below Median
6	Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital	$11K	$23.63	3.0× median	Above 75th
7	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$7K	$60.40	7.6× median	Top 10%
8	1285603837	$6K	$32.55	4.1× median	Top 10%
9	1619082625	$5K	$7.18	0.9× median	Below Median
10	1437190287	$5K	$14.30	1.8× median	Above Median
11	Southern California Permanente Medical Group Riverside, CA · Health Maintenance Organization	$5K	$24.52	3.1× median	Above 75th
12	1134152549	$5K	$25.48	3.2× median	Above 75th
13	1407059199	$3K	$7.48	0.9× median	Below Median
14	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$3K	$3.74	0.5× median	Below Median
15	1427022649	$3K	$15.37	1.9× median	Above Median
16	1750351375	$3K	$6.23	0.8× median	Below Median
17	1609841436	$3K	$14.35	1.8× median	Above Median
18	1790780047	$3K	$20.38	2.6× median	Above 75th
19	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$3K	$9.39	1.2× median	Above Median
20	1821097940	$3K	$6.12	0.8× median	Below Median

Showing top 20 of 78 providers billing this code

Related Procedures

77080Dual-energy x-ray absorptiometry (DEXA) bone density scan$48.5M 77072$10.8M 77073$5.3M 77077$1.8M 77075$1.7M

← All procedures Top providers →