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#579 of 11K

74018

HCPCS Procedure Code

HCPCS code 74018 is the #579 most-billed Medicaid procedure code, with $139.9M in payments across 13.3M claims from 2018–2024. The national median cost per claim is $7.00. Costs vary widely — the 90th percentile is $34.82 per claim, 5.0× the median.

Total Paid

$139.9M

0.01% of all spending

Total Claims

13.3M

Providers

6K

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 74018? Based on 6K providers billing this code nationally.

Median

$7.00

Average

$14.64

Std Dev

$20.23

Max

$333.81

Percentile Distribution (Cost per Claim)

p10
$3.28
p25
$4.64
Median
$7.00
p75
$16.43
p90
$34.82
p95
$49.96
p99
$104.57

50% of providers bill between $4.64 and $16.43 per claim for this code.

90% bill between $3.28 and $34.82.

Top 1% bill above $104.57.

About This Procedure

HCPCS code 74018 was billed by 6K providers across 13.3M claims, totaling $139.9M in Medicaid payments from 2018–2024. This code was used for 10.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.00

Providers Billing

6K

National Spending

$139.9M

Avg/Median Ratio

2.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 74018

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1.3M
2Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$1.2M
3State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$1.1M
4Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$964K
5Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$876K
61700865094$859K
7The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$844K
8Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$834K
9Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$800K
101336192665$789K
111710970975$776K
121467403261$709K
13Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$701K
14Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$695K
151508895608$675K
16University Physicians Incorporated

Aurora, CO · Anesthesiology

$674K
17Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$661K
181972579365$653K
19Cook Children's Medical Center

Fort Worth, TX · General Acute Care Hospital Children

$622K
20Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$578K

Showing top 20 of 6K providers billing this code