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#1366 of 11K

0760

HCPCS Procedure Code

HCPCS code 0760 is the #1,366 most-billed Medicaid procedure code, with $25.6M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $22.01. Costs vary widely — the 90th percentile is $51.85 per claim, 2.4× the median.

Total Paid

$25.6M

0.00% of all spending

Total Claims

1.3M

Providers

215

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 0760? Based on 192 providers billing this code nationally.

Median

$22.01

Average

$26.13

Std Dev

$26.24

Max

$235.42

Percentile Distribution (Cost per Claim)

p10
$1.43
p25
$7.95
Median
$22.01
p75
$35.56
p90
$51.85
p95
$62.11
p99
$124.05

50% of providers bill between $7.95 and $35.56 per claim for this code.

90% bill between $1.43 and $51.85.

Top 1% bill above $124.05.

About This Procedure

HCPCS code 0760 was billed by 215 providers across 1.3M claims, totaling $25.6M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$22.01

Providers Billing

192

National Spending

$25.6M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0760

#ProviderTotal Paid
1City & County Of San Francisco

San Francisco, CA · Case Manager/Care Coordinator

$3.9M
2University Of California Irvine

Orange, CA · General Acute Care Hospital

$2.1M
3Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$1.5M
41639278369$1.2M
51952312043$1.1M
61700949336$1.0M
71477596583$957K
81427176569$881K
91215903018$858K
10Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$674K
11County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$638K
121588663769$593K
13Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$570K
141972503142$564K
15Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$466K
16City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$458K
171639143381$383K
181811080526$378K
191710065933$364K
201104981661$279K

Showing top 20 of 215 providers billing this code