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#3121 of 11K

77263

HCPCS Procedure Code

HCPCS code 77263 is the #3,121 most-billed Medicaid procedure code, with $2.4M in payments across 30K claims from 2018–2024. The national median cost per claim is $78.17.

Total Paid

$2.4M

0.00% of all spending

Total Claims

30K

Providers

220

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for 77263? Based on 219 providers billing this code nationally.

Median

$78.17

Average

$83.53

Std Dev

$47.99

Max

$390.40

Percentile Distribution (Cost per Claim)

p10
$34.09
p25
$52.17
Median
$78.17
p75
$101.09
p90
$136.89
p95
$162.42
p99
$249.30

50% of providers bill between $52.17 and $101.09 per claim for this code.

90% bill between $34.09 and $136.89.

Top 1% bill above $249.30.

About This Procedure

HCPCS code 77263 was billed by 220 providers across 30K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.17

Providers Billing

219

National Spending

$2.4M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77263

#ProviderTotal Paid
11871886366$263K
2William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$174K
31447299797$163K
41083648885$154K
51598836033$126K
61073610713$119K
71689722340$90K
81093839060$74K
91407861818$72K
101730143454$59K
111710917968$55K
121912978834$43K
131770684870$37K
14New York City Health And Hospitals Corporation

Brooklyn, NY · Internal Medicine

$32K
151922074434$31K
161447595574$31K
171952388258$29K
18West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$29K
191043204233$27K
201164512851$26K

Showing top 20 of 220 providers billing this code

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