74230
HCPCS Procedure Code
HCPCS code 74230 is the #1,504 most-billed Medicaid procedure code, with $20.9M in payments across 387K claims from 2018–2024. The national median cost per claim is $19.67. Costs vary widely — the 90th percentile is $107.03 per claim, 5.4× the median.
Total Paid
$20.9M
0.00% of all spending
Total Claims
387K
Providers
694
Avg Cost/Claim
$54
National Cost Distribution
How much do providers bill per claim for 74230? Based on 688 providers billing this code nationally.
Median
$19.67
Average
$43.26
Std Dev
$66.74
Max
$914.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.84 and $51.23 per claim for this code.
90% bill between $5.36 and $107.03.
Top 1% bill above $249.19.
About This Procedure
HCPCS code 74230 was billed by 694 providers across 387K claims, totaling $20.9M in Medicaid payments from 2018–2024. This code was used for 356K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.67
Providers Billing
688
National Spending
$20.9M
Avg/Median Ratio
2.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 74230
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $2.7M |
| 2 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.6M |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $960K |
| 4 | 1689744450 | $833K |
| 5 | Children's Hospital Corporation Boston, MA · Clinic/Center | $746K |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $384K |
| 7 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $381K |
| 8 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $378K |
| 9 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $358K |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $332K |
| 11 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $268K |
| 12 | 1144268145 | $260K |
| 13 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $257K |
| 14 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $250K |
| 15 | Ihc Health Services, Inc. Salt Lake City, UT · Psychiatric Unit | $245K |
| 16 | 1336533041 | $233K |
| 17 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $232K |
| 18 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $227K |
| 19 | 1902835895 | $214K |
| 20 | 1386709871 | $207K |
Showing top 20 of 694 providers billing this code