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#2821 of 11K

74170

HCPCS Procedure Code

HCPCS code 74170 is the #2,821 most-billed Medicaid procedure code, with $3.5M in payments across 28K claims from 2018–2024. The national median cost per claim is $126.48. Costs vary widely — the 90th percentile is $286.70 per claim, 2.3× the median.

Total Paid

$3.5M

0.00% of all spending

Total Claims

28K

Providers

119

Avg Cost/Claim

$125

National Cost Distribution

How much do providers bill per claim for 74170? Based on 116 providers billing this code nationally.

Median

$126.48

Average

$158.19

Std Dev

$182.32

Max

$1,669.90

Percentile Distribution (Cost per Claim)

p10
$30.65
p25
$49.00
Median
$126.48
p75
$214.59
p90
$286.70
p95
$349.66
p99
$616.33

50% of providers bill between $49.00 and $214.59 per claim for this code.

90% bill between $30.65 and $286.70.

Top 1% bill above $616.33.

About This Procedure

HCPCS code 74170 was billed by 119 providers across 28K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$126.48

Providers Billing

116

National Spending

$3.5M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 74170

#ProviderTotal Paid
1University Hospital

Newark, NJ · General Acute Care Hospital

$430K
2Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$406K
3United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$240K
4Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$186K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$168K
6Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$164K
71700821477$132K
8Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$120K
91285785519$115K
10Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$113K
11Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$109K
121508942681$103K
13State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$103K
141740283324$81K
15Southern California Permanente Medical Group

San Diego, CA · Health Maintenance Organization

$72K
16County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$71K
171356496772$67K
18Alameda Health System

Oakland, CA · General Acute Care Hospital

$61K
191790736551$58K
20Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$52K

Showing top 20 of 119 providers billing this code