Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5380 of 11K

76496

HCPCS Procedure Code

HCPCS code 76496 is the #5,380 most-billed Medicaid procedure code, with $214K in payments across 837 claims from 2018–2024. The national median cost per claim is $258.78.

Total Paid

$214K

0.00% of all spending

Total Claims

837

Providers

3

Avg Cost/Claim

$256

National Cost Distribution

How much do providers bill per claim for 76496? Based on 3 providers billing this code nationally.

Median

$258.78

Average

$198.26

Std Dev

$131.71

Max

$288.83

Percentile Distribution (Cost per Claim)

p10
$89.48
p25
$152.97
Median
$258.78
p75
$273.80
p90
$282.82
p95
$285.82
p99
$288.23

50% of providers bill between $152.97 and $273.80 per claim for this code.

90% bill between $89.48 and $282.82.

Top 1% bill above $288.23.

About This Procedure

HCPCS code 76496 was billed by 3 providers across 837 claims, totaling $214K in Medicaid payments from 2018–2024. This code was used for 732 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$258.78

Providers Billing

3

National Spending

$214K

Avg/Median Ratio

0.77×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.