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#3276 of 11K

83874

HCPCS Procedure Code

HCPCS code 83874 is the #3,276 most-billed Medicaid procedure code, with $2.1M in payments across 252K claims from 2018–2024. The national median cost per claim is $6.40. Costs vary widely — the 90th percentile is $18.74 per claim, 2.9× the median.

Total Paid

$2.1M

0.00% of all spending

Total Claims

252K

Providers

251

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 83874? Based on 234 providers billing this code nationally.

Median

$6.40

Average

$8.99

Std Dev

$10.54

Max

$73.58

Percentile Distribution (Cost per Claim)

p10
$1.00
p25
$2.80
Median
$6.40
p75
$10.59
p90
$18.74
p95
$29.59
p99
$55.95

50% of providers bill between $2.80 and $10.59 per claim for this code.

90% bill between $1.00 and $18.74.

Top 1% bill above $55.95.

About This Procedure

HCPCS code 83874 was billed by 251 providers across 252K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 200K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.40

Providers Billing

234

National Spending

$2.1M

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83874

#ProviderTotal Paid
11750332565$281K
21992701429$133K
31811091408$85K
41598875460$79K
51780688333$62K
61891075446$53K
71073567608$49K
81598975120$47K
91619973542$46K
101811912009$43K
111316180748$41K
121477500015$40K
131043282338$39K
141366685992$39K
151942276423$38K
161083759633$38K
171770543399$34K
181528006103$32K
191962410183$30K
201346381415$29K

Showing top 20 of 251 providers billing this code