#1334 of 11K

0761

HCPCS Procedure Code

HCPCS code 0761 is the #1,334 most-billed Medicaid procedure code, with $26.9M in payments across 987K claims from 2018–2024. The national median cost per claim is $24.10. Costs vary widely — the 90th percentile is $56.86 per claim, 2.4× the median.

Total Paid

$26.9M

0.00% of all spending

Total Claims

987K

Providers

201

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 0761? Based on 188 providers billing this code nationally.

Median

$24.10

Average

$29.27

Std Dev

$25.64

Max

$173.98

Percentile Distribution (Cost per Claim)

p10

$4.04

p25

$14.61

Median

$24.10

p75

$36.16

p90

$56.86

p95

$82.14

p99

$117.98

50% of providers bill between $14.61 and $36.16 per claim for this code.

90% bill between $4.04 and $56.86.

Top 1% bill above $117.98.

About This Procedure

HCPCS code 0761 was billed by 201 providers across 987K claims, totaling $26.9M in Medicaid payments from 2018–2024. This code was used for 804K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.10

Providers Billing

188

National Spending

$26.9M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0761

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1215903018	$9.5M	$28.27	1.2× median	Above Median
2	County Of Ventura Ventura, CA · Clinic/Center, Emergency Care	$3.5M	$29.43	1.2× median	Above Median
3	Alameda Health System Oakland, CA · General Acute Care Hospital	$1.0M	$43.62	1.8× median	Above 75th
4	1477554152	$780K	$36.90	1.5× median	Above 75th
5	1427176569	$577K	$22.98	1.0× median	Below Median
6	1700949336	$566K	$14.72	0.6× median	Below Median
7	1952476525	$537K	$27.11	1.1× median	Above Median
8	Regents Of The University Of California Sacramento, CA · General Acute Care Hospital	$508K	$56.79	2.4× median	Above 75th
9	1417901091	$421K	$117.61	4.9× median	Top 10%
10	1104906569	$414K	$10.44	0.4× median	Below Median
11	Palomar Health Escondido, CA · General Acute Care Hospital	$369K	$72.16	3.0× median	Top 10%
12	1639143381	$352K	$26.22	1.1× median	Above Median
13	1447277355	$310K	$19.59	0.8× median	Below Median
14	1639172372	$291K	$92.95	3.9× median	Top 10%
15	1902803315	$289K	$28.14	1.2× median	Above Median
16	Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator	$289K	$24.79	1.0× median	Above Median
17	Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital	$249K	$36.41	1.5× median	Above 75th
18	1316938301	$238K	$28.83	1.2× median	Above Median
19	1952546616	$219K	$83.05	3.4× median	Top 10%
20	1851417703	$217K	$15.47	0.6× median	Below Median

Showing top 20 of 201 providers billing this code

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