#1391 of 11K

77427

HCPCS Procedure Code

HCPCS code 77427 is the #1,391 most-billed Medicaid procedure code, with $24.8M in payments across 297K claims from 2018–2024. The national median cost per claim is $83.73.

Total Paid

$24.8M

0.00% of all spending

Total Claims

297K

Providers

592

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for 77427? Based on 587 providers billing this code nationally.

Median

$83.73

Average

$87.14

Std Dev

$42.50

Max

$369.52

Percentile Distribution (Cost per Claim)

p10

$38.34

p25

$60.38

Median

$83.73

p75

$107.58

p90

$131.20

p95

$161.44

p99

$226.66

50% of providers bill between $60.38 and $107.58 per claim for this code.

90% bill between $38.34 and $131.20.

Top 1% bill above $226.66.

About This Procedure

HCPCS code 77427 was billed by 592 providers across 297K claims, totaling $24.8M in Medicaid payments from 2018–2024. This code was used for 136K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$83.73

Providers Billing

587

National Spending

$24.8M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77427

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1871886366	$746K	$73.31	0.9× median	Below Median
2	1952388258	$688K	$108.66	1.3× median	Above 75th
3	1447299797	$666K	$105.35	1.3× median	Above Median
4	1689722340	$640K	$83.42	1.0× median	Below Median
5	William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease	$618K	$107.70	1.3× median	Above 75th
6	1407861818	$569K	$95.49	1.1× median	Above Median
7	1073610713	$467K	$96.67	1.2× median	Above Median
8	1083648885	$446K	$105.56	1.3× median	Above Median
9	1598836033	$426K	$107.51	1.3× median	Above Median
10	1770684870	$400K	$61.39	0.7× median	Below Median
11	1093839060	$360K	$95.07	1.1× median	Above Median
12	Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery	$340K	$115.75	1.4× median	Above 75th
13	1043204233	$326K	$104.55	1.2× median	Above Median
14	1295833580	$292K	$64.48	0.8× median	Below Median
15	1740269299	$287K	$119.11	1.4× median	Above 75th
16	1154369163	$271K	$226.03	2.7× median	Top 10%
17	1912978834	$265K	$115.97	1.4× median	Above 75th
18	1033183603	$264K	$121.45	1.5× median	Above 75th
19	The Metrohealth System Cleveland, OH · Anesthesiology	$248K	$90.77	1.1× median	Above Median
20	1710917968	$242K	$98.30	1.2× median	Above Median

Showing top 20 of 592 providers billing this code

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