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#1945 of 11K

77295

HCPCS Procedure Code

HCPCS code 77295 is the #1,945 most-billed Medicaid procedure code, with $11.1M in payments across 22K claims from 2018–2024. The national median cost per claim is $346.62. Costs vary widely — the 90th percentile is $987.60 per claim, 2.8× the median.

Total Paid

$11.1M

0.00% of all spending

Total Claims

22K

Providers

127

Avg Cost/Claim

$517

National Cost Distribution

How much do providers bill per claim for 77295? Based on 124 providers billing this code nationally.

Median

$346.62

Average

$467.80

Std Dev

$419.78

Max

$2,181.22

Percentile Distribution (Cost per Claim)

p10
$90.87
p25
$180.40
Median
$346.62
p75
$630.52
p90
$987.60
p95
$1,357.07
p99
$1,958.33

50% of providers bill between $180.40 and $630.52 per claim for this code.

90% bill between $90.87 and $987.60.

Top 1% bill above $1,958.33.

About This Procedure

HCPCS code 77295 was billed by 127 providers across 22K claims, totaling $11.1M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$346.62

Providers Billing

124

National Spending

$11.1M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77295

#ProviderTotal Paid
1Stanford Health Care

Stanford, CA · General Acute Care Hospital

$1.2M
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$840K
3Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$689K
4The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$471K
5Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$450K
6University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$428K
7Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$389K
8Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$378K
9Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$348K
10University Of Kentucky

Lexington, KY · General Acute Care Hospital

$305K
11The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$301K
12City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$296K
13Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$294K
14Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$290K
151316900277$247K
16Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$176K
171164493847$165K
18Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$161K
19Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$152K
201871886366$149K

Showing top 20 of 127 providers billing this code