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#7500 of 11K

01474

HCPCS Procedure Code

HCPCS code 01474 is the #7,500 most-billed Medicaid procedure code, with $16K in payments across 191 claims from 2018–2024. The national median cost per claim is $80.67.

Total Paid

$16K

0.00% of all spending

Total Claims

191

Providers

3

Avg Cost/Claim

$84

National Cost Distribution

How much do providers bill per claim for 01474? Based on 3 providers billing this code nationally.

Median

$80.67

Average

$85.39

Std Dev

$17.21

Max

$104.47

Percentile Distribution (Cost per Claim)

p10
$72.96
p25
$75.85
Median
$80.67
p75
$92.57
p90
$99.71
p95
$102.09
p99
$104.00

50% of providers bill between $75.85 and $92.57 per claim for this code.

90% bill between $72.96 and $99.71.

Top 1% bill above $104.00.

About This Procedure

HCPCS code 01474 was billed by 3 providers across 191 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 157 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.67

Providers Billing

3

National Spending

$16K

Avg/Median Ratio

1.06×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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