0074A
HCPCS Procedure Code
HCPCS code 0074A is the #3,882 most-billed Medicaid procedure code, with $1.1M in payments across 24K claims from 2018–2024. The national median cost per claim is $39.19.
Total Paid
$1.1M
0.00% of all spending
Total Claims
24K
Providers
377
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 0074A? Based on 351 providers billing this code nationally.
Median
$39.19
Average
$52.11
Std Dev
$90.96
Max
$810.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.35 and $42.09 per claim for this code.
90% bill between $20.00 and $67.00.
Top 1% bill above $626.21.
About This Procedure
HCPCS code 0074A was billed by 377 providers across 24K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.19
Providers Billing
351
National Spending
$1.1M
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0074A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $108K |
| 2 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $47K |
| 3 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $44K |
| 4 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $42K |
| 5 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $35K |
| 6 | 1750443503 | $23K |
| 7 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $19K |
| 8 | North East Medical Services San Francisco, CA · Case Manager/Care Coordinator | $18K |
| 9 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $17K |
| 10 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $15K |
| 11 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $13K |
| 12 | 1124013230 | $13K |
| 13 | 1326066796 | $13K |
| 14 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $12K |
| 15 | 1225179641 | $12K |
| 16 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $11K |
| 17 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $11K |
| 18 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $10K |
| 19 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $10K |
| 20 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $9K |
Showing top 20 of 377 providers billing this code