#4057 of 11K

77417

HCPCS Procedure Code

HCPCS code 77417 is the #4,057 most-billed Medicaid procedure code, with $886K in payments across 34K claims from 2018–2024. The national median cost per claim is $13.09. Costs vary widely — the 90th percentile is $56.56 per claim, 4.3× the median.

Total Paid

$886K

0.00% of all spending

Total Claims

34K

Providers

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 77417? Based on 67 providers billing this code nationally.

Median

$13.09

Average

$24.85

Std Dev

$31.82

Max

$161.77

Percentile Distribution (Cost per Claim)

p10

$1.39

p25

$6.05

Median

$13.09

p75

$29.32

p90

$56.56

p95

$92.61

p99

$137.10

50% of providers bill between $6.05 and $29.32 per claim for this code.

90% bill between $1.39 and $56.56.

Top 1% bill above $137.10.

About This Procedure

HCPCS code 77417 was billed by 90 providers across 34K claims, totaling $886K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.09

Providers Billing

National Spending

$886K

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 77417

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$565K	$41.13	3.1× median	Above 75th
2	University Hospital Newark, NJ · General Acute Care Hospital	$85K	$49.58	3.8× median	Above 75th
3	1952388258	$25K	$17.97	1.4× median	Above Median
4	1619969219	$23K	$29.84	2.3× median	Above 75th
5	Regents Of The University Of California San Diego, CA · General Acute Care Hospital	$23K	$29.58	2.3× median	Above 75th
6	1144272881	$21K	$29.06	2.2× median	Above Median
7	City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital	$13K	$55.82	4.3× median	Above 75th
8	Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital	$13K	$124.39	9.5× median	Top 10%
9	The Cooper Health System Camden, NJ · General Acute Care Hospital	$10K	$15.52	1.2× median	Above Median
10	Hmh Hospitals Corporation Hackensack, NJ · Ambulance	$10K	$43.11	3.3× median	Above 75th
11	1689836629	$8K	$7.89	0.6× median	Below Median
12	1558575746	$7K	$10.46	0.8× median	Below Median
13	1114547114	$6K	$27.99	2.1× median	Above Median
14	County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator	$6K	$6.75	0.5× median	Below Median
15	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$5K	$62.25	4.8× median	Top 10%
16	Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital	$5K	$161.77	12.4× median	Top 1%
17	1487697215	$4K	$20.88	1.6× median	Above Median
18	1285687178	$4K	$6.10	0.5× median	Below Median
19	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$4K	$5.99	0.5× median	Below Median
20	Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital	$3K	$18.79	1.4× median	Above Median

Showing top 20 of 90 providers billing this code

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