15274
HCPCS Procedure Code
HCPCS code 15274 is the #4,711 most-billed Medicaid procedure code, with $439K in payments across 2,449 claims from 2018–2024. The national median cost per claim is $184.76.
Total Paid
$439K
0.00% of all spending
Total Claims
2,449
Providers
13
Avg Cost/Claim
$179
National Cost Distribution
How much do providers bill per claim for 15274? Based on 9 providers billing this code nationally.
Median
$184.76
Average
$183.48
Std Dev
$60.80
Max
$289.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $142.95 and $223.41 per claim for this code.
90% bill between $128.32 and $246.36.
Top 1% bill above $285.08.
About This Procedure
HCPCS code 15274 was billed by 13 providers across 2,449 claims, totaling $439K in Medicaid payments from 2018–2024. This code was used for 1,660 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$184.76
Providers Billing
9
National Spending
$439K
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 15274
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215904909 | $267K |
| 2 | 1780669200 | $49K |
| 3 | 1073087680 | $48K |
| 4 | 1043402522 | $38K |
| 5 | 1194346734 | $19K |
| 6 | 1518916311 | $6K |
| 7 | 1225725278 | $5K |
| 8 | 1013283803 | $3K |
| 9 | 1770881104 | $3K |
| 10 | 1689085771 | $0 |
| 11 | 1598708513 | $0 |
| 12 | 1912951963 | $0 |
| 13 | 1033163092 | $0 |
Showing top 13 of 13 providers billing this code