#5051 of 11K

75774

HCPCS Procedure Code

HCPCS code 75774 is the #5,051 most-billed Medicaid procedure code, with $307K in payments across 3,348 claims from 2018–2024. The national median cost per claim is $24.87. Costs vary widely — the 90th percentile is $214.18 per claim, 8.6× the median.

Total Paid

$307K

0.00% of all spending

Total Claims

3,348

Providers

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for 75774? Based on 22 providers billing this code nationally.

Median

$24.87

Average

$80.06

Std Dev

$114.12

Max

$457.51

Percentile Distribution (Cost per Claim)

p10

$3.36

p25

$5.46

Median

$24.87

p75

$115.05

p90

$214.18

p95

$231.60

p99

$410.23

50% of providers bill between $5.46 and $115.05 per claim for this code.

90% bill between $3.36 and $214.18.

Top 1% bill above $410.23.

About This Procedure

HCPCS code 75774 was billed by 27 providers across 3,348 claims, totaling $307K in Medicaid payments from 2018–2024. This code was used for 2,236 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.87

Providers Billing

National Spending

$307K

Avg/Median Ratio

3.22×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 75774

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1477803609	$114K	$216.97	8.7× median	Top 10%
2	1386754273	$111K	$188.82	7.6× median	Above 75th
3	1578949889	$43K	$67.40	2.7× median	Above Median
4	1184279804	$7K	$79.09	3.2× median	Above Median
5	University Hospital Newark, NJ · General Acute Care Hospital	$6K	$457.51	18.4× median	Top 1%
6	1336219849	$5K	$189.12	7.6× median	Above 75th
7	1275083511	$4K	$232.37	9.3× median	Top 10%
8	1316923915	$4K	$127.04	5.1× median	Above 75th
9	1770717811	$3K	$19.66	0.8× median	Below Median
10	1427583087	$2K	$35.00	1.4× median	Above Median
11	1558994566	$2K	$6.13	0.2× median	Below Median
12	1124450572	$940	$49.49	2.0× median	Above Median
13	1891913612	$729	$4.74	0.2× median	Below Median
14	1740283324	$544	$20.14	0.8× median	Below Median
15	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$507	$3.79	0.2× median	Below Median
16	1972689172	$415	$29.61	1.2× median	Above Median
17	1174171441	$387	$5.23	0.2× median	Below Median
18	1104875970	$345	$13.26	0.5× median	Below Median
19	1033327770	$141	$11.71	0.5× median	Below Median
20	1578662102	$113	$3.31	0.1× median	Below Median

Showing top 20 of 27 providers billing this code

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