77075
HCPCS Procedure Code
HCPCS code 77075 is the #3,428 most-billed Medicaid procedure code, with $1.7M in payments across 16K claims from 2018–2024. The national median cost per claim is $34.55. Costs vary widely — the 90th percentile is $213.89 per claim, 6.2× the median.
Total Paid
$1.7M
0.00% of all spending
Total Claims
16K
Providers
64
Avg Cost/Claim
$105
National Cost Distribution
How much do providers bill per claim for 77075? Based on 64 providers billing this code nationally.
Median
$34.55
Average
$81.38
Std Dev
$89.94
Max
$385.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.86 and $111.44 per claim for this code.
90% bill between $15.67 and $213.89.
Top 1% bill above $353.87.
About This Procedure
HCPCS code 77075 was billed by 64 providers across 16K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.55
Providers Billing
64
National Spending
$1.7M
Avg/Median Ratio
2.36×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 77075
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $731K |
| 2 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $91K |
| 3 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $90K |
| 4 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $83K |
| 5 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $81K |
| 6 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $76K |
| 7 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $62K |
| 8 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $53K |
| 9 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $48K |
| 10 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $44K |
| 11 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $42K |
| 12 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $38K |
| 13 | Texas Children's Physician Group Houston, TX · Pediatrics | $31K |
| 14 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $24K |
| 15 | The Nemours Foundation Wilmington, DE · General Acute Care Hospital Children | $22K |
| 16 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $22K |
| 17 | Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children | $14K |
| 18 | 1710970975 | $14K |
| 19 | 1346297843 | $14K |
| 20 | 1740283324 | $13K |
Showing top 20 of 64 providers billing this code