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#2113 of 11K

72070

HCPCS Procedure Code

HCPCS code 72070 is the #2,113 most-billed Medicaid procedure code, with $8.8M in payments across 408K claims from 2018–2024. The national median cost per claim is $17.22. Costs vary widely — the 90th percentile is $40.98 per claim, 2.4× the median.

Total Paid

$8.8M

0.00% of all spending

Total Claims

408K

Providers

1K

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 72070? Based on 1K providers billing this code nationally.

Median

$17.22

Average

$21.60

Std Dev

$20.94

Max

$245.67

Percentile Distribution (Cost per Claim)

p10
$5.12
p25
$8.68
Median
$17.22
p75
$26.26
p90
$40.98
p95
$61.14
p99
$103.72

50% of providers bill between $8.68 and $26.26 per claim for this code.

90% bill between $5.12 and $40.98.

Top 1% bill above $103.72.

About This Procedure

HCPCS code 72070 was billed by 1K providers across 408K claims, totaling $8.8M in Medicaid payments from 2018–2024. This code was used for 376K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.22

Providers Billing

1K

National Spending

$8.8M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72070

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$262K
2Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$209K
3Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$209K
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$206K
5Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$185K
6United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$173K
7Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$167K
8Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$160K
91497148456$138K
10Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$138K
11State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$129K
12New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$124K
13Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$103K
14The Cooper Health System

Camden, NJ · General Acute Care Hospital

$91K
15Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$91K
16Kaiser Foundation Hospitals

Sacramento, CA · General Acute Care Hospital

$86K
171992701429$84K
18Bridgeport Hospital

Bridgeport, CT · General Acute Care Hospital

$77K
19Spartanburg Medical Center

Spartanburg, SC · Ambulance

$74K
201588855068$68K

Showing top 20 of 1K providers billing this code