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#7677 of 11K

77261

HCPCS Procedure Code

HCPCS code 77261 is the #7,677 most-billed Medicaid procedure code, with $12K in payments across 310 claims from 2018–2024. The national median cost per claim is $33.51.

Total Paid

$12K

0.00% of all spending

Total Claims

310

Providers

4

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 77261? Based on 3 providers billing this code nationally.

Median

$33.51

Average

$33.34

Std Dev

$12.26

Max

$45.52

Percentile Distribution (Cost per Claim)

p10
$23.50
p25
$27.25
Median
$33.51
p75
$39.51
p90
$43.12
p95
$44.32
p99
$45.28

50% of providers bill between $27.25 and $39.51 per claim for this code.

90% bill between $23.50 and $43.12.

Top 1% bill above $45.28.

About This Procedure

HCPCS code 77261 was billed by 4 providers across 310 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 282 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.51

Providers Billing

3

National Spending

$12K

Avg/Median Ratio

0.99×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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