94770
HCPCS Procedure Code
HCPCS code 94770 is the #4,446 most-billed Medicaid procedure code, with $585K in payments across 22K claims from 2018–2024. The national median cost per claim is $19.22. Costs vary widely — the 90th percentile is $138.47 per claim, 7.2× the median.
Total Paid
$585K
0.00% of all spending
Total Claims
22K
Providers
87
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 94770? Based on 79 providers billing this code nationally.
Median
$19.22
Average
$48.16
Std Dev
$71.52
Max
$440.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.30 and $68.28 per claim for this code.
90% bill between $1.23 and $138.47.
Top 1% bill above $325.82.
About This Procedure
HCPCS code 94770 was billed by 87 providers across 22K claims, totaling $585K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.22
Providers Billing
79
National Spending
$585K
Avg/Median Ratio
2.51×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 94770
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $105K |
| 2 | 1992703540 | $51K |
| 3 | 1003831132 | $37K |
| 4 | University Of Washington Seattle, WA · Clinic/Center, Dental | $36K |
| 5 | 1457389033 | $35K |
| 6 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $29K |
| 7 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $26K |
| 8 | 1205882503 | $24K |
| 9 | Southern Baptist Hospital Of Florida Inc Jacksonville, FL · General Acute Care Hospital | $24K |
| 10 | 1376624981 | $22K |
| 11 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $21K |
| 12 | 1700037801 | $17K |
| 13 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $14K |
| 14 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $13K |
| 15 | 1811080526 | $10K |
| 16 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $8K |
| 17 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $8K |
| 18 | 1376596650 | $7K |
| 19 | 1982675955 | $7K |
| 20 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $6K |
Showing top 20 of 87 providers billing this code