#3412 of 11K

74021

HCPCS Procedure Code

HCPCS code 74021 is the #3,412 most-billed Medicaid procedure code, with $1.7M in payments across 109K claims from 2018–2024. The national median cost per claim is $10.59. Costs vary widely — the 90th percentile is $51.06 per claim, 4.8× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

109K

Providers

264

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 74021? Based on 246 providers billing this code nationally.

Median

$10.59

Average

$20.52

Std Dev

$21.80

Max

$123.43

Percentile Distribution (Cost per Claim)

p10

$3.07

p25

$6.89

Median

$10.59

p75

$27.74

p90

$51.06

p95

$62.85

p99

$104.33

50% of providers bill between $6.89 and $27.74 per claim for this code.

90% bill between $3.07 and $51.06.

Top 1% bill above $104.33.

About This Procedure

HCPCS code 74021 was billed by 264 providers across 109K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 100K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.59

Providers Billing

246

National Spending

$1.7M

Avg/Median Ratio

1.94×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 74021

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital	$122K	$38.71	3.7× median	Above 75th
2	1639135221	$106K	$69.06	6.5× median	Top 10%
3	1255302766	$89K	$76.81	7.3× median	Top 10%
4	1780667923	$89K	$43.18	4.1× median	Above 75th
5	1649226952	$81K	$51.79	4.9× median	Top 10%
6	University Physicians Incorporated Aurora, CO · Anesthesiology	$77K	$22.72	2.1× median	Above Median
7	1780800128	$75K	$10.15	1.0× median	Below Median
8	1073827101	$59K	$7.62	0.7× median	Below Median
9	Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital	$59K	$93.96	8.9× median	Top 10%
10	Spartanburg Medical Center Spartanburg, SC · Ambulance	$52K	$39.70	3.7× median	Above 75th
11	1861450579	$49K	$119.59	11.3× median	Top 1%
12	Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital	$40K	$35.22	3.3× median	Above 75th
13	Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport	$39K	$15.33	1.4× median	Above Median
14	1356444814	$39K	$60.58	5.7× median	Top 10%
15	1710109186	$32K	$23.58	2.2× median	Above Median
16	Children's Hospital Washington, DC · General Acute Care Hospital Children	$32K	$9.97	0.9× median	Below Median
17	1578547865	$29K	$21.48	2.0× median	Above Median
18	1902980865	$28K	$17.42	1.6× median	Above Median
19	Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital	$23K	$36.54	3.5× median	Above 75th
20	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$21K	$37.73	3.6× median	Above 75th

Showing top 20 of 264 providers billing this code

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