#2817 of 11K

76828

HCPCS Procedure Code

HCPCS code 76828 is the #2,817 most-billed Medicaid procedure code, with $3.5M in payments across 93K claims from 2018–2024. The national median cost per claim is $30.36.

Total Paid

$3.5M

0.00% of all spending

Total Claims

93K

Providers

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for 76828? Based on 60 providers billing this code nationally.

Median

$30.36

Average

$35.33

Std Dev

$22.05

Max

$116.34

Percentile Distribution (Cost per Claim)

p10

$16.87

p25

$20.53

Median

$30.36

p75

$43.23

p90

$58.34

p95

$78.01

p99

$108.52

50% of providers bill between $20.53 and $43.23 per claim for this code.

90% bill between $16.87 and $58.34.

Top 1% bill above $108.52.

About This Procedure

HCPCS code 76828 was billed by 60 providers across 93K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 71K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.36

Providers Billing

National Spending

$3.5M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76828

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1376565952	$1.1M	$77.56	2.6× median	Top 10%
2	1144252990	$797K	$25.51	0.8× median	Below Median
3	1770851776	$337K	$26.80	0.9× median	Below Median
4	1184662579	$200K	$32.32	1.1× median	Above Median
5	1124139514	$200K	$36.50	1.2× median	Above Median
6	1093819492	$168K	$42.36	1.4× median	Above Median
7	1831530906	$123K	$24.11	0.8× median	Below Median
8	1154333086	$113K	$39.99	1.3× median	Above Median
9	1164749982	$64K	$34.50	1.1× median	Above Median
10	1518032937	$43K	$48.94	1.6× median	Above 75th
11	1437501988	$41K	$38.17	1.3× median	Above Median
12	1811944457	$34K	$42.70	1.4× median	Above Median
13	1093829210	$27K	$86.49	2.8× median	Top 10%
14	1235180480	$26K	$49.66	1.6× median	Above 75th
15	1356487854	$26K	$20.87	0.7× median	Below Median
16	1255315339	$25K	$31.32	1.0× median	Above Median
17	1245338516	$25K	$44.83	1.5× median	Above 75th
18	1417949066	$13K	$32.90	1.1× median	Above Median
19	1144389230	$11K	$25.46	0.8× median	Below Median
20	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$10K	$103.08	3.4× median	Top 10%

Showing top 20 of 60 providers billing this code

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76830Ultrasound, transvaginal$524.3M 76819Fetal biophysical profile with non-stress test$399.0M 76818$135.2M 76820$127.4M 76825$65.9M

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