96374
Therapeutic/prophylactic/diagnostic IV push, single substance
Therapeutic/prophylactic/diagnostic IV push, single substance is the #153 most-billed Medicaid procedure code, with $1.22B in payments across 36.5M claims from 2018–2024. The national median cost per claim is $21.76. Costs vary widely — the 90th percentile is $101.38 per claim, 4.7× the median.
Total Paid
$1.22B
0.11% of all spending
Total Claims
36.5M
Providers
5K
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for 96374? Based on 4K providers billing this code nationally.
Median
$21.76
Average
$37.62
Std Dev
$47.27
Max
$1,229.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.45 and $53.87 per claim for this code.
90% bill between $0.94 and $101.38.
Top 1% bill above $169.60.
About This Procedure
HCPCS code 96374 (Therapeutic/prophylactic/diagnostic IV push, single substance) was billed by 5K providers across 36.5M claims, totaling $1.22B in Medicaid payments from 2018–2024. This code was used for 30.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.76
Providers Billing
4K
National Spending
$1.22B
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 96374
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $18.6M |
| 2 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $12.3M |
| 3 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $9.8M |
| 4 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $9.6M |
| 5 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $9.2M |
| 6 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $7.7M |
| 7 | Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital | $7.6M |
| 8 | Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital | $7.4M |
| 9 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $7.4M |
| 10 | The William W Backus Hospital Norwich, CT · Clinic/Center, Emergency Care | $7.1M |
| 11 | Saint Mary's Hospital, Inc. Waterbury, CT · General Acute Care Hospital | $6.2M |
| 12 | Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital | $5.2M |
| 13 | 1427007848 | $5.1M |
| 14 | 1760454334 | $4.8M |
| 15 | 1114367497 | $4.7M |
| 16 | Danbury Hospital Danbury, CT · General Practice | $4.6M |
| 17 | 1598717480 | $4.5M |
| 18 | Lawrence And Memorial Hospital, Inc. New London, CT · Internal Medicine | $4.4M |
| 19 | Stamford Hospital Stamford, CT · Hospitalist | $4.3M |
| 20 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $4.3M |
Showing top 20 of 5K providers billing this code