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#4883 of 11K

77401

HCPCS Procedure Code

HCPCS code 77401 is the #4,883 most-billed Medicaid procedure code, with $364K in payments across 35K claims from 2018–2024. The national median cost per claim is $13.00.

Total Paid

$364K

0.00% of all spending

Total Claims

35K

Providers

15

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 77401? Based on 14 providers billing this code nationally.

Median

$13.00

Average

$12.75

Std Dev

$8.16

Max

$25.09

Percentile Distribution (Cost per Claim)

p10
$4.48
p25
$6.04
Median
$13.00
p75
$19.08
p90
$24.01
p95
$24.56
p99
$24.98

50% of providers bill between $6.04 and $19.08 per claim for this code.

90% bill between $4.48 and $24.01.

Top 1% bill above $24.98.

About This Procedure

HCPCS code 77401 was billed by 15 providers across 35K claims, totaling $364K in Medicaid payments from 2018–2024. This code was used for 5,505 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.00

Providers Billing

14

National Spending

$364K

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77401

#ProviderTotal Paid
11881023927$190K
21104847714$87K
31821285974$36K
41508035411$26K
51144419458$6K
61295753986$4K
71003082090$4K
81558707588$3K
91467070508$2K
101073662946$2K
111376605394$2K
121043462591$1K
131306982855$929
141467968859$856
151124463104$0

Showing top 15 of 15 providers billing this code

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