96377
HCPCS Procedure Code
HCPCS code 96377 is the #3,629 most-billed Medicaid procedure code, with $1.4M in payments across 56K claims from 2018–2024. The national median cost per claim is $14.35. Costs vary widely — the 90th percentile is $85.48 per claim, 6.0× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
56K
Providers
110
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 96377? Based on 88 providers billing this code nationally.
Median
$14.35
Average
$39.94
Std Dev
$95.35
Max
$714.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.82 and $29.19 per claim for this code.
90% bill between $1.52 and $85.48.
Top 1% bill above $490.97.
About This Procedure
HCPCS code 96377 was billed by 110 providers across 56K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.35
Providers Billing
88
National Spending
$1.4M
Avg/Median Ratio
2.78×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 96377
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $259K |
| 2 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $134K |
| 3 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $87K |
| 4 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $71K |
| 5 | 1477549756 | $65K |
| 6 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $64K |
| 7 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $57K |
| 8 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $51K |
| 9 | 1134102080 | $49K |
| 10 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $43K |
| 11 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $41K |
| 12 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $40K |
| 13 | 1457309247 | $39K |
| 14 | 1679660617 | $34K |
| 15 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $33K |
| 16 | 1821186313 | $28K |
| 17 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $23K |
| 18 | Mount Sinai Hospital New York, NY · Ambulance | $22K |
| 19 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $21K |
| 20 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $20K |
Showing top 20 of 110 providers billing this code