77091
HCPCS Procedure Code
HCPCS code 77091 is the #5,087 most-billed Medicaid procedure code, with $297K in payments across 11K claims from 2018–2024. The national median cost per claim is $8.44. Costs vary widely — the 90th percentile is $35.86 per claim, 4.2× the median.
Total Paid
$297K
0.00% of all spending
Total Claims
11K
Providers
33
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 77091? Based on 31 providers billing this code nationally.
Median
$8.44
Average
$16.66
Std Dev
$15.88
Max
$57.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.33 and $24.86 per claim for this code.
90% bill between $2.33 and $35.86.
Top 1% bill above $57.02.
About This Procedure
HCPCS code 77091 was billed by 33 providers across 11K claims, totaling $297K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.44
Providers Billing
31
National Spending
$297K
Avg/Median Ratio
1.97×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 77091
| # | Provider | Total Paid |
|---|---|---|
| 1 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $143K |
| 2 | State Of Connecticut Farmington, CT · Counselor, Professional | $41K |
| 3 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $26K |
| 4 | Stamford Hospital Stamford, CT · Hospitalist | $23K |
| 5 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $13K |
| 6 | 1124136593 | $7K |
| 7 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $7K |
| 8 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $6K |
| 9 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $5K |
| 10 | 1649556200 | $5K |
| 11 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $5K |
| 12 | 1639123284 | $3K |
| 13 | 1801874227 | $2K |
| 14 | 1144210253 | $2K |
| 15 | 1831116441 | $1K |
| 16 | 1346228541 | $1K |
| 17 | 1093768962 | $1K |
| 18 | 1750549143 | $979 |
| 19 | 1013995133 | $943 |
| 20 | Akron General Medical Center Akron, OH · General Acute Care Hospital | $839 |
Showing top 20 of 33 providers billing this code