Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#3047 of 11K

74181

HCPCS Procedure Code

HCPCS code 74181 is the #3,047 most-billed Medicaid procedure code, with $2.7M in payments across 30K claims from 2018–2024. The national median cost per claim is $61.21. Costs vary widely — the 90th percentile is $346.16 per claim, 5.7× the median.

Total Paid

$2.7M

0.00% of all spending

Total Claims

30K

Providers

138

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for 74181? Based on 135 providers billing this code nationally.

Median

$61.21

Average

$140.09

Std Dev

$172.07

Max

$1,056.94

Percentile Distribution (Cost per Claim)

p10
$27.17
p25
$38.47
Median
$61.21
p75
$183.76
p90
$346.16
p95
$528.92
p99
$694.53

50% of providers bill between $38.47 and $183.76 per claim for this code.

90% bill between $27.17 and $346.16.

Top 1% bill above $694.53.

About This Procedure

HCPCS code 74181 was billed by 138 providers across 30K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.21

Providers Billing

135

National Spending

$2.7M

Avg/Median Ratio

2.29×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 74181

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$446K
2Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$276K
3Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$263K
41487608931$198K
5Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$121K
6Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$110K
7Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$91K
81871528026$78K
9Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$70K
101053373480$68K
11The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$55K
121740283324$51K
13Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$46K
141376719666$44K
151356496772$40K
161154367803$39K
17Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$34K
181144872052$32K
191215394036$30K
201861783961$27K

Showing top 20 of 138 providers billing this code