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#7467 of 11K

81177

HCPCS Procedure Code

HCPCS code 81177 is the #7,467 most-billed Medicaid procedure code, with $17K in payments across 1K claims from 2018–2024. The national median cost per claim is $7.42. Costs vary widely — the 90th percentile is $47.17 per claim, 6.4× the median.

Total Paid

$17K

0.00% of all spending

Total Claims

1K

Providers

6

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 81177? Based on 5 providers billing this code nationally.

Median

$7.42

Average

$18.23

Std Dev

$30.21

Max

$71.75

Percentile Distribution (Cost per Claim)

p10
$0.76
p25
$1.18
Median
$7.42
p75
$10.30
p90
$47.17
p95
$59.46
p99
$69.29

50% of providers bill between $1.18 and $10.30 per claim for this code.

90% bill between $0.76 and $47.17.

Top 1% bill above $69.29.

About This Procedure

HCPCS code 81177 was billed by 6 providers across 1K claims, totaling $17K in Medicaid payments from 2018–2024. This code was used for 980 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.42

Providers Billing

5

National Spending

$17K

Avg/Median Ratio

2.46×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 81177

#ProviderTotal Paid
11457977209$16K
21528653334$646
31760189898$269
41447843750$217
51134439573$124
61881334290$0

Showing top 6 of 6 providers billing this code