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#2531 of 11K

74160

HCPCS Procedure Code

HCPCS code 74160 is the #2,531 most-billed Medicaid procedure code, with $5.1M in payments across 42K claims from 2018–2024. The national median cost per claim is $67.13. Costs vary widely — the 90th percentile is $250.24 per claim, 3.7× the median.

Total Paid

$5.1M

0.00% of all spending

Total Claims

42K

Providers

86

Avg Cost/Claim

$123

National Cost Distribution

How much do providers bill per claim for 74160? Based on 84 providers billing this code nationally.

Median

$67.13

Average

$141.05

Std Dev

$353.18

Max

$3,230.17

Percentile Distribution (Cost per Claim)

p10
$27.64
p25
$34.91
Median
$67.13
p75
$163.03
p90
$250.24
p95
$305.80
p99
$890.71

50% of providers bill between $34.91 and $163.03 per claim for this code.

90% bill between $27.64 and $250.24.

Top 1% bill above $890.71.

About This Procedure

HCPCS code 74160 was billed by 86 providers across 42K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.13

Providers Billing

84

National Spending

$5.1M

Avg/Median Ratio

2.10×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 74160

#ProviderTotal Paid
11114367497$1.9M
21215030697$416K
31356899777$371K
4Stanford Health Care

Stanford, CA · General Acute Care Hospital

$347K
5Aultman Hospital

Canton, OH · General Acute Care Hospital

$340K
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$277K
7University Of Washington

Seattle, WA · Clinic/Center, Dental

$274K
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$115K
91740283324$76K
10Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$76K
11The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$70K
12Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$67K
13Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$64K
141336192665$61K
15Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$57K
16Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$56K
171225033020$55K
18University Of Colorado Hospital Authority

Aurora, CO · General Acute Care Hospital

$42K
191700886322$41K
201679529978$34K

Showing top 20 of 86 providers billing this code