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#5330 of 11K

K0077

HCPCS Procedure Code

HCPCS code K0077 is the #5,330 most-billed Medicaid procedure code, with $227K in payments across 3,516 claims from 2018–2024. The national median cost per claim is $58.17.

Total Paid

$227K

0.00% of all spending

Total Claims

3,516

Providers

24

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for K0077? Based on 24 providers billing this code nationally.

Median

$58.17

Average

$60.27

Std Dev

$22.91

Max

$97.80

Percentile Distribution (Cost per Claim)

p10
$27.17
p25
$47.02
Median
$58.17
p75
$78.16
p90
$85.25
p95
$90.94
p99
$96.43

50% of providers bill between $47.02 and $78.16 per claim for this code.

90% bill between $27.17 and $85.25.

Top 1% bill above $96.43.

About This Procedure

HCPCS code K0077 was billed by 24 providers across 3,516 claims, totaling $227K in Medicaid payments from 2018–2024. This code was used for 3,007 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.17

Providers Billing

24

National Spending

$227K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0077

#ProviderTotal Paid
11932484979$34K
21841263621$34K
31487624193$27K
41184883472$23K
51780758219$18K
61538576509$16K
71750504502$12K
81629370317$11K
91679546519$11K
101215933791$10K
111144515255$10K
121003052598$5K
131326011263$4K
141477526333$4K
151043209794$2K
161235102179$1K
171700856952$1K
181003889684$1K
191922172519$1K
201578531356$772

Showing top 20 of 24 providers billing this code