77280
HCPCS Procedure Code
HCPCS code 77280 is the #2,447 most-billed Medicaid procedure code, with $5.7M in payments across 69K claims from 2018–2024. The national median cost per claim is $65.84. Costs vary widely — the 90th percentile is $242.26 per claim, 3.7× the median.
Total Paid
$5.7M
0.00% of all spending
Total Claims
69K
Providers
204
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for 77280? Based on 199 providers billing this code nationally.
Median
$65.84
Average
$106.99
Std Dev
$118.32
Max
$905.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.82 and $139.18 per claim for this code.
90% bill between $17.04 and $242.26.
Top 1% bill above $498.00.
About This Procedure
HCPCS code 77280 was billed by 204 providers across 69K claims, totaling $5.7M in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$65.84
Providers Billing
199
National Spending
$5.7M
Avg/Median Ratio
1.62×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 77280
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881023927 | $1.3M |
| 2 | 1104847714 | $519K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $286K |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $214K |
| 5 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $205K |
| 6 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $202K |
| 7 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $144K |
| 8 | District Hospital Partners L P Washington, DC · Nurse Practitioner, Family | $142K |
| 9 | 1508035411 | $132K |
| 10 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $132K |
| 11 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $116K |
| 12 | 1821285974 | $116K |
| 13 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $92K |
| 14 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $76K |
| 15 | 1780107797 | $72K |
| 16 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $64K |
| 17 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $63K |
| 18 | 1538244918 | $62K |
| 19 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $62K |
| 20 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $62K |
Showing top 20 of 204 providers billing this code