#3529 of 11K

94070

HCPCS Procedure Code

HCPCS code 94070 is the #3,529 most-billed Medicaid procedure code, with $1.6M in payments across 18K claims from 2018–2024. The national median cost per claim is $30.52. Costs vary widely — the 90th percentile is $63.92 per claim, 2.1× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

18K

Providers

Avg Cost/Claim

$88

National Cost Distribution

How much do providers bill per claim for 94070? Based on 78 providers billing this code nationally.

Median

$30.52

Average

$44.76

Std Dev

$72.30

Max

$590.15

Percentile Distribution (Cost per Claim)

p10

$9.42

p25

$17.02

Median

$30.52

p75

$45.97

p90

$63.92

p95

$158.25

p99

$274.52

50% of providers bill between $17.02 and $45.97 per claim for this code.

90% bill between $9.42 and $63.92.

Top 1% bill above $274.52.

About This Procedure

HCPCS code 94070 was billed by 83 providers across 18K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.52

Providers Billing

National Spending

$1.6M

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94070

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	The Cooper Health System Camden, NJ · General Acute Care Hospital	$908K	$590.15	19.3× median	Top 1%
2	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$142K	$171.66	5.6× median	Top 10%
3	1194876136	$137K	$33.68	1.1× median	Above Median
4	1881039725	$41K	$46.05	1.5× median	Above 75th
5	1477725208	$34K	$43.59	1.4× median	Above Median
6	1386682094	$29K	$87.14	2.9× median	Top 10%
7	1093761546	$27K	$43.51	1.4× median	Above Median
8	1407877137	$25K	$47.78	1.6× median	Above 75th
9	1063417343	$23K	$50.84	1.7× median	Above 75th
10	St. Barnabas Hospital Bronx, NY · General Acute Care Hospital	$20K	$53.97	1.8× median	Above 75th
11	1851352678	$17K	$10.12	0.3× median	Below Median
12	1053534230	$13K	$24.58	0.8× median	Below Median
13	1710282215	$12K	$30.42	1.0× median	Below Median
14	1891719902	$9K	$35.88	1.2× median	Above Median
15	1063557726	$9K	$30.61	1.0× median	Above Median
16	1437156346	$8K	$87.22	2.9× median	Top 10%
17	1922180330	$7K	$35.35	1.2× median	Above Median
18	1316288236	$7K	$19.86	0.7× median	Below Median
19	1528117728	$7K	$41.54	1.4× median	Above Median
20	1760445373	$7K	$16.88	0.6× median	Below Median

Showing top 20 of 83 providers billing this code

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