76499
HCPCS Procedure Code
HCPCS code 76499 is the #3,717 most-billed Medicaid procedure code, with $1.3M in payments across 14K claims from 2018–2024. The national median cost per claim is $26.14. Costs vary widely — the 90th percentile is $83.01 per claim, 3.2× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
14K
Providers
21
Avg Cost/Claim
$94
National Cost Distribution
How much do providers bill per claim for 76499? Based on 18 providers billing this code nationally.
Median
$26.14
Average
$35.14
Std Dev
$38.32
Max
$132.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.16 and $38.24 per claim for this code.
90% bill between $3.74 and $83.01.
Top 1% bill above $132.00.
About This Procedure
HCPCS code 76499 was billed by 21 providers across 14K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.14
Providers Billing
18
National Spending
$1.3M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76499
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1245643279 | $1.2M |
| 2 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $51K |
| 3 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $9K |
| 4 | 1295247294 | $8K |
| 5 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $5K |
| 6 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $3K |
| 7 | 1598188948 | $3K |
| 8 | 1760628184 | $2K |
| 9 | 1023092053 | $2K |
| 10 | 1700949336 | $1K |
| 11 | 1609915784 | $1K |
| 12 | 1467116095 | $924 |
| 13 | 1285845982 | $635 |
| 14 | 1053800797 | $501 |
| 15 | 1043269798 | $389 |
| 16 | 1548210198 | $388 |
| 17 | 1881886893 | $141 |
| 18 | 1073595179 | $46 |
| 19 | 1376093609 | $0 |
| 20 | 1447277355 | $0 |
Showing top 20 of 21 providers billing this code