74174
HCPCS Procedure Code
HCPCS code 74174 is the #1,195 most-billed Medicaid procedure code, with $34.1M in payments across 248K claims from 2018–2024. The national median cost per claim is $89.41. Costs vary widely — the 90th percentile is $351.54 per claim, 3.9× the median.
Total Paid
$34.1M
0.00% of all spending
Total Claims
248K
Providers
567
Avg Cost/Claim
$138
National Cost Distribution
How much do providers bill per claim for 74174? Based on 548 providers billing this code nationally.
Median
$89.41
Average
$159.80
Std Dev
$183.96
Max
$1,289.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $56.52 and $184.90 per claim for this code.
90% bill between $40.38 and $351.54.
Top 1% bill above $910.03.
About This Procedure
HCPCS code 74174 was billed by 567 providers across 248K claims, totaling $34.1M in Medicaid payments from 2018–2024. This code was used for 229K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.41
Providers Billing
548
National Spending
$34.1M
Avg/Median Ratio
1.79×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 74174
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $3.4M |
| 2 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $1.3M |
| 3 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $1.3M |
| 4 | 1699986331 | $1.3M |
| 5 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $1.2M |
| 6 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $1.0M |
| 7 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $819K |
| 8 | 1265423917 | $647K |
| 9 | 1275566200 | $599K |
| 10 | 1528169125 | $587K |
| 11 | 1285845982 | $540K |
| 12 | Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health | $518K |
| 13 | 1154335487 | $498K |
| 14 | 1770690695 | $495K |
| 15 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $439K |
| 16 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $422K |
| 17 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $397K |
| 18 | 1740283324 | $381K |
| 19 | 1336279959 | $356K |
| 20 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $346K |
Showing top 20 of 567 providers billing this code