77072
HCPCS Procedure Code
HCPCS code 77072 is the #1,969 most-billed Medicaid procedure code, with $10.8M in payments across 374K claims from 2018–2024. The national median cost per claim is $11.98. Costs vary widely — the 90th percentile is $61.66 per claim, 5.1× the median.
Total Paid
$10.8M
0.00% of all spending
Total Claims
374K
Providers
584
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for 77072? Based on 579 providers billing this code nationally.
Median
$11.98
Average
$24.40
Std Dev
$29.38
Max
$271.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.65 and $28.33 per claim for this code.
90% bill between $5.92 and $61.66.
Top 1% bill above $126.58.
About This Procedure
HCPCS code 77072 was billed by 584 providers across 374K claims, totaling $10.8M in Medicaid payments from 2018–2024. This code was used for 358K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.98
Providers Billing
579
National Spending
$10.8M
Avg/Median Ratio
2.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 77072
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $953K |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $773K |
| 3 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $695K |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $380K |
| 5 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $355K |
| 6 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $354K |
| 7 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $258K |
| 8 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $202K |
| 9 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $155K |
| 10 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $152K |
| 11 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $150K |
| 12 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $147K |
| 13 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $134K |
| 14 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $128K |
| 15 | 1346297843 | $120K |
| 16 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $101K |
| 17 | Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital | $99K |
| 18 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $98K |
| 19 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $98K |
| 20 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $95K |
Showing top 20 of 584 providers billing this code