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#1954 of 11K

G2074

HCPCS Procedure Code

HCPCS code G2074 is the #1,954 most-billed Medicaid procedure code, with $11.0M in payments across 115K claims from 2018–2024. The national median cost per claim is $82.20.

Total Paid

$11.0M

0.00% of all spending

Total Claims

115K

Providers

82

Avg Cost/Claim

$95

National Cost Distribution

How much do providers bill per claim for G2074? Based on 71 providers billing this code nationally.

Median

$82.20

Average

$79.00

Std Dev

$54.86

Max

$176.37

Percentile Distribution (Cost per Claim)

p10
$5.29
p25
$19.36
Median
$82.20
p75
$123.00
p90
$149.34
p95
$159.27
p99
$174.55

50% of providers bill between $19.36 and $123.00 per claim for this code.

90% bill between $5.29 and $149.34.

Top 1% bill above $174.55.

About This Procedure

HCPCS code G2074 was billed by 82 providers across 115K claims, totaling $11.0M in Medicaid payments from 2018–2024. This code was used for 67K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.20

Providers Billing

71

National Spending

$11.0M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G2074

#ProviderTotal Paid
1Habit Opco, Llc

Springfield, MA · Case Management

$3.4M
21912155516$1.7M
3Community Health Care, Inc.

Westfield, MA · Counselor, Addiction (Substance Use Disorder)

$1.1M
4Spectrum Health Systems, Inc

Worcester, MA · Clinic/Center, Rehabilitation, Substance Use Disorder

$930K
51275686123$556K
61932253812$506K
71003969767$301K
81821418096$224K
91477605228$212K
101013060714$202K
111194878587$184K
121891142154$171K
131689693343$157K
141033485628$130K
151043720113$119K
16Northeast Behavioral Health Corporation

Beverly, MA · Clinic/Center Mental Health (Including Community Mental Health Center)

$109K
171205477957$107K
181194835595$79K
191053319368$76K
201558576389$71K

Showing top 20 of 82 providers billing this code