76937
HCPCS Procedure Code
HCPCS code 76937 is the #2,003 most-billed Medicaid procedure code, with $10.3M in payments across 586K claims from 2018–2024. The national median cost per claim is $6.99. Costs vary widely — the 90th percentile is $35.52 per claim, 5.1× the median.
Total Paid
$10.3M
0.00% of all spending
Total Claims
586K
Providers
1K
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 76937? Based on 1K providers billing this code nationally.
Median
$6.99
Average
$17.04
Std Dev
$40.39
Max
$876.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.05 and $12.70 per claim for this code.
90% bill between $2.03 and $35.52.
Top 1% bill above $177.22.
About This Procedure
HCPCS code 76937 was billed by 1K providers across 586K claims, totaling $10.3M in Medicaid payments from 2018–2024. This code was used for 485K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.99
Providers Billing
1K
National Spending
$10.3M
Avg/Median Ratio
2.44×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 76937
| # | Provider | Total Paid |
|---|---|---|
| 1 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $332K |
| 2 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $260K |
| 3 | 1205835485 | $255K |
| 4 | 1134897424 | $254K |
| 5 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $254K |
| 6 | 1548222912 | $239K |
| 7 | 1306952726 | $232K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $225K |
| 9 | 1700896354 | $154K |
| 10 | 1033270699 | $152K |
| 11 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $140K |
| 12 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $138K |
| 13 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $137K |
| 14 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $133K |
| 15 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $130K |
| 16 | 1346250594 | $128K |
| 17 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $122K |
| 18 | University Of Washington Seattle, WA · Clinic/Center, Dental | $121K |
| 19 | 1649726738 | $111K |
| 20 | Mount Sinai Hospital New York, NY · Ambulance | $109K |
Showing top 20 of 1K providers billing this code