0174A
HCPCS Procedure Code
HCPCS code 0174A is the #7,529 most-billed Medicaid procedure code, with $15K in payments across 249 claims from 2018–2024. The national median cost per claim is $37.99. Costs vary widely — the 90th percentile is $324.85 per claim, 8.6× the median.
Total Paid
$15K
0.00% of all spending
Total Claims
249
Providers
6
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for 0174A? Based on 6 providers billing this code nationally.
Median
$37.99
Average
$125.84
Std Dev
$234.49
Max
$603.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.07 and $44.52 per claim for this code.
90% bill between $14.68 and $324.85.
Top 1% bill above $575.81.
About This Procedure
HCPCS code 0174A was billed by 6 providers across 249 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 218 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.99
Providers Billing
6
National Spending
$15K
Avg/Median Ratio
3.31×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0174A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $8K |
| 2 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $3K |
| 3 | 1417004003 | $2K |
| 4 | 1114027331 | $1K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $826 |
| 6 | 1962520288 | $240 |
Showing top 6 of 6 providers billing this code