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#6255 of 11K

72074

HCPCS Procedure Code

HCPCS code 72074 is the #6,255 most-billed Medicaid procedure code, with $80K in payments across 3K claims from 2018–2024. The national median cost per claim is $20.38. Costs vary widely — the 90th percentile is $76.61 per claim, 3.8× the median.

Total Paid

$80K

0.00% of all spending

Total Claims

3K

Providers

33

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 72074? Based on 33 providers billing this code nationally.

Median

$20.38

Average

$31.40

Std Dev

$40.53

Max

$183.93

Percentile Distribution (Cost per Claim)

p10
$6.55
p25
$7.37
Median
$20.38
p75
$32.40
p90
$76.61
p95
$115.14
p99
$173.07

50% of providers bill between $7.37 and $32.40 per claim for this code.

90% bill between $6.55 and $76.61.

Top 1% bill above $173.07.

About This Procedure

HCPCS code 72074 was billed by 33 providers across 3K claims, totaling $80K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.38

Providers Billing

33

National Spending

$80K

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72074

#ProviderTotal Paid
11144209271$13K
21194876136$9K
3Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$8K
41285630129$7K
51699703959$5K
6Edward W Sparrow Hospital Association

Lansing, MI · Rehabilitation, Substance Use Disorder Unit

$4K
71811996960$4K
81184606600$4K
91386091486$3K
101972004489$3K
111942630306$3K
121821387051$3K
131326089020$3K
141558586438$2K
151669425658$1K
16Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$1K
171265437644$1K
18Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$861
191740283324$818
201578819850$815

Showing top 20 of 33 providers billing this code