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#4288 of 11K

73701

HCPCS Procedure Code

HCPCS code 73701 is the #4,288 most-billed Medicaid procedure code, with $692K in payments across 11K claims from 2018–2024. The national median cost per claim is $37.87. Costs vary widely — the 90th percentile is $252.54 per claim, 6.7× the median.

Total Paid

$692K

0.00% of all spending

Total Claims

11K

Providers

61

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for 73701? Based on 59 providers billing this code nationally.

Median

$37.87

Average

$96.64

Std Dev

$138.39

Max

$656.48

Percentile Distribution (Cost per Claim)

p10
$27.68
p25
$31.93
Median
$37.87
p75
$76.63
p90
$252.54
p95
$357.40
p99
$622.75

50% of providers bill between $31.93 and $76.63 per claim for this code.

90% bill between $27.68 and $252.54.

Top 1% bill above $622.75.

About This Procedure

HCPCS code 73701 was billed by 61 providers across 11K claims, totaling $692K in Medicaid payments from 2018–2024. This code was used for 9,523 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.87

Providers Billing

59

National Spending

$692K

Avg/Median Ratio

2.55×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 73701

#ProviderTotal Paid
11720561186$160K
2Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$86K
31740283324$81K
4Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$72K
51376719666$27K
6Multicare Health System

Tacoma, WA · Community/Behavioral Health

$26K
71902839673$23K
81881666998$18K
91285019737$17K
101508942681$15K
11Swedish Health Services

Seattle, WA · General Acute Care Hospital

$13K
12Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$11K
131316957913$11K
14Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$9K
15The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$8K
161063487122$8K
171487608931$8K
181073827101$8K
191598169419$7K
20Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$7K

Showing top 20 of 61 providers billing this code