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#3755 of 11K

74420

HCPCS Procedure Code

HCPCS code 74420 is the #3,755 most-billed Medicaid procedure code, with $1.2M in payments across 43K claims from 2018–2024. The national median cost per claim is $13.56. Costs vary widely — the 90th percentile is $108.57 per claim, 8.0× the median.

Total Paid

$1.2M

0.00% of all spending

Total Claims

43K

Providers

254

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for 74420? Based on 218 providers billing this code nationally.

Median

$13.56

Average

$36.68

Std Dev

$57.32

Max

$440.80

Percentile Distribution (Cost per Claim)

p10
$7.31
p25
$10.08
Median
$13.56
p75
$24.36
p90
$108.57
p95
$158.06
p99
$244.75

50% of providers bill between $10.08 and $24.36 per claim for this code.

90% bill between $7.31 and $108.57.

Top 1% bill above $244.75.

About This Procedure

HCPCS code 74420 was billed by 254 providers across 43K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.56

Providers Billing

218

National Spending

$1.2M

Avg/Median Ratio

2.71×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 74420

#ProviderTotal Paid
11295738375$113K
2The Cooper Health System

Camden, NJ · General Acute Care Hospital

$99K
31053373480$57K
4St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$55K
51972535052$39K
61427027416$37K
71689628232$37K
8Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$33K
91699704254$32K
10University Of Washington

Seattle, WA · Clinic/Center, Dental

$31K
111053301127$30K
121215936927$30K
13Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$26K
14Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$25K
151295023547$25K
16Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$25K
171679529978$24K
18William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$23K
191285930016$20K
201104899319$19K

Showing top 20 of 254 providers billing this code

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