77412
HCPCS Procedure Code
HCPCS code 77412 is the #812 most-billed Medicaid procedure code, with $75.1M in payments across 478K claims from 2018–2024. The national median cost per claim is $111.69. Costs vary widely — the 90th percentile is $370.47 per claim, 3.3× the median.
Total Paid
$75.1M
0.01% of all spending
Total Claims
478K
Providers
208
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for 77412? Based on 207 providers billing this code nationally.
Median
$111.69
Average
$166.70
Std Dev
$152.23
Max
$805.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.32 and $229.04 per claim for this code.
90% bill between $31.63 and $370.47.
Top 1% bill above $730.77.
About This Procedure
HCPCS code 77412 was billed by 208 providers across 478K claims, totaling $75.1M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$111.69
Providers Billing
207
National Spending
$75.1M
Avg/Median Ratio
1.49×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 77412
| # | Provider | Total Paid |
|---|---|---|
| 1 | Swedish Health Services Seattle, WA · General Acute Care Hospital | $5.3M |
| 2 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $3.3M |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $3.3M |
| 4 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $2.6M |
| 5 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $2.3M |
| 6 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $2.1M |
| 7 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2.0M |
| 8 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $2.0M |
| 9 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.0M |
| 10 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.8M |
| 11 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.8M |
| 12 | 1316900277 | $1.5M |
| 13 | 1437230034 | $1.4M |
| 14 | Newyork-presbyterian-queens Flushing, NY · General Acute Care Hospital | $1.2M |
| 15 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.2M |
| 16 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $1.2M |
| 17 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $1.2M |
| 18 | Mainehealth Portland, ME · Emergency Medicine | $1.2M |
| 19 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $1.2M |
| 20 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.2M |
Showing top 20 of 208 providers billing this code