77290
HCPCS Procedure Code
HCPCS code 77290 is the #2,042 most-billed Medicaid procedure code, with $9.8M in payments across 50K claims from 2018–2024. The national median cost per claim is $128.59. Costs vary widely — the 90th percentile is $394.85 per claim, 3.1× the median.
Total Paid
$9.8M
0.00% of all spending
Total Claims
50K
Providers
239
Avg Cost/Claim
$194
National Cost Distribution
How much do providers bill per claim for 77290? Based on 235 providers billing this code nationally.
Median
$128.59
Average
$179.59
Std Dev
$166.92
Max
$1,109.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.93 and $255.30 per claim for this code.
90% bill between $26.73 and $394.85.
Top 1% bill above $711.42.
About This Procedure
HCPCS code 77290 was billed by 239 providers across 50K claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$128.59
Providers Billing
235
National Spending
$9.8M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 77290
| # | Provider | Total Paid |
|---|---|---|
| 1 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $469K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $466K |
| 3 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $400K |
| 4 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $378K |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $324K |
| 6 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $322K |
| 7 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $246K |
| 8 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $242K |
| 9 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $241K |
| 10 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $240K |
| 11 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $226K |
| 12 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $220K |
| 13 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $206K |
| 14 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $199K |
| 15 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $193K |
| 16 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $190K |
| 17 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $176K |
| 18 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $175K |
| 19 | University Of Washington Seattle, WA · Clinic/Center, Dental | $146K |
| 20 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $140K |
Showing top 20 of 239 providers billing this code