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#1291 of 11K

74019

HCPCS Procedure Code

HCPCS code 74019 is the #1,291 most-billed Medicaid procedure code, with $28.8M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $9.82. Costs vary widely — the 90th percentile is $50.66 per claim, 5.2× the median.

Total Paid

$28.8M

0.00% of all spending

Total Claims

1.7M

Providers

2K

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 74019? Based on 2K providers billing this code nationally.

Median

$9.82

Average

$20.35

Std Dev

$27.52

Max

$333.23

Percentile Distribution (Cost per Claim)

p10
$4.54
p25
$6.76
Median
$9.82
p75
$21.94
p90
$50.66
p95
$71.41
p99
$138.21

50% of providers bill between $6.76 and $21.94 per claim for this code.

90% bill between $4.54 and $50.66.

Top 1% bill above $138.21.

About This Procedure

HCPCS code 74019 was billed by 2K providers across 1.7M claims, totaling $28.8M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.82

Providers Billing

2K

National Spending

$28.8M

Avg/Median Ratio

2.07×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 74019

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$1.5M
2Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$1.3M
3Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$1.1M
4Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$720K
5Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$484K
6The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$469K
7Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$331K
8Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$301K
91386698710$274K
10Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$244K
111598875460$243K
121760476659$232K
13Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$227K
141255875746$227K
151093024101$226K
161649726738$223K
17Children's Hospital Corporation

Boston, MA · Clinic/Center

$213K
181144268145$208K
19Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$200K
20Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$197K

Showing top 20 of 2K providers billing this code