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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.5M |
| 2 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $1.3M |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $1.1M |
| 4 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $720K |
| 5 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $484K |
| 6 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $469K |
| 7 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $331K |
| 8 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $301K |
| 9 | 1386698710 | $274K |
| 10 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $244K |
| 11 | 1598875460 | $243K |
| 12 | 1760476659 | $232K |
| 13 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $227K |
| 14 | 1255875746 | $227K |
| 15 | 1093024101 | $226K |
| 16 | 1649726738 | $223K |
| 17 | Children's Hospital Corporation Boston, MA · Clinic/Center | $213K |
| 18 | 1144268145 | $208K |
| 19 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $200K |
| 20 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $197K |
Showing top 20 of 2K providers billing this code