37241
HCPCS Procedure Code
HCPCS code 37241 is the #3,151 most-billed Medicaid procedure code, with $2.4M in payments across 588 claims from 2018–2024. The national median cost per claim is $4,600.28. Costs vary widely — the 90th percentile is $12,289.68 per claim, 2.7× the median.
Total Paid
$2.4M
0.00% of all spending
Total Claims
588
Providers
6
Avg Cost/Claim
$4K
National Cost Distribution
How much do providers bill per claim for 37241? Based on 6 providers billing this code nationally.
Median
$4,600.28
Average
$6,385.15
Std Dev
$5,125.82
Max
$15,133.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $3,067.65 and $8,587.68 per claim for this code.
90% bill between $2,265.49 and $12,289.68.
Top 1% bill above $14,849.10.
About This Procedure
HCPCS code 37241 was billed by 6 providers across 588 claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 485 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4,600.28
Providers Billing
6
National Spending
$2.4M
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 37241
| # | Provider | Total Paid |
|---|---|---|
| 1 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.2M |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $378K |
| 3 | 1396722088 | $260K |
| 4 | 1902855828 | $253K |
| 5 | 1689744450 | $246K |
| 6 | 1982711503 | $63K |
Showing top 6 of 6 providers billing this code