72149
MRI of lumbar spine with contrast
MRI of lumbar spine with contrast is the #4,151 most-billed Medicaid procedure code, with $803K in payments across 1K claims from 2018–2024. The national median cost per claim is $95.31. Costs vary widely — the 90th percentile is $844.16 per claim, 8.9× the median.
Total Paid
$803K
0.00% of all spending
Total Claims
1K
Providers
6
Avg Cost/Claim
$569
National Cost Distribution
How much do providers bill per claim for 72149? Based on 5 providers billing this code nationally.
Median
$95.31
Average
$357.30
Std Dev
$431.27
Max
$955.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.35 and $676.96 per claim for this code.
90% bill between $29.30 and $844.16.
Top 1% bill above $944.48.
About This Procedure
HCPCS code 72149 (MRI of lumbar spine with contrast) was billed by 6 providers across 1K claims, totaling $803K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$95.31
Providers Billing
5
National Spending
$803K
Avg/Median Ratio
3.75×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 72149
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $548K |
| 2 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $230K |
| 3 | 1669657318 | $19K |
| 4 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $6K |
| 5 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $470 |
| 6 | Children's Hospital Corporation Boston, MA · Clinic/Center | $0 |
Showing top 6 of 6 providers billing this code