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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295738375 | $113K |
| 2 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $99K |
| 3 | 1053373480 | $57K |
| 4 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $55K |
| 5 | 1972535052 | $39K |
| 6 | 1427027416 | $37K |
| 7 | 1689628232 | $37K |
| 8 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $33K |
| 9 | 1699704254 | $32K |
| 10 | University Of Washington Seattle, WA · Clinic/Center, Dental | $31K |
| 11 | 1053301127 | $30K |
| 12 | 1215936927 | $30K |
| 13 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $26K |
| 14 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $25K |
| 15 | 1295023547 | $25K |
| 16 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $25K |
| 17 | 1679529978 | $24K |
| 18 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $23K |
| 19 | 1285930016 | $20K |
| 20 | 1104899319 | $19K |
Showing top 20 of 254 providers billing this code