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#7170 of 11K

77090

HCPCS Procedure Code

HCPCS code 77090 is the #7,170 most-billed Medicaid procedure code, with $26K in payments across 2K claims from 2018–2024. The national median cost per claim is $5.29. Costs vary widely — the 90th percentile is $25.56 per claim, 4.8× the median.

Total Paid

$26K

0.00% of all spending

Total Claims

2K

Providers

4

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 77090? Based on 4 providers billing this code nationally.

Median

$5.29

Average

$11.60

Std Dev

$15.00

Max

$33.94

Percentile Distribution (Cost per Claim)

p10
$2.68
p25
$3.92
Median
$5.29
p75
$12.97
p90
$25.56
p95
$29.75
p99
$33.10

50% of providers bill between $3.92 and $12.97 per claim for this code.

90% bill between $2.68 and $25.56.

Top 1% bill above $33.10.

About This Procedure

HCPCS code 77090 was billed by 4 providers across 2K claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.29

Providers Billing

4

National Spending

$26K

Avg/Median Ratio

2.19×

Highly skewed — outlier-driven

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.