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#7604 of 11K

74210

HCPCS Procedure Code

HCPCS code 74210 is the #7,604 most-billed Medicaid procedure code, with $14K in payments across 263 claims from 2018–2024. The national median cost per claim is $32.30. Costs vary widely — the 90th percentile is $172.72 per claim, 5.3× the median.

Total Paid

$14K

0.00% of all spending

Total Claims

263

Providers

4

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for 74210? Based on 4 providers billing this code nationally.

Median

$32.30

Average

$76.33

Std Dev

$103.66

Max

$230.91

Percentile Distribution (Cost per Claim)

p10
$15.18
p25
$23.20
Median
$32.30
p75
$85.43
p90
$172.72
p95
$201.81
p99
$225.09

50% of providers bill between $23.20 and $85.43 per claim for this code.

90% bill between $15.18 and $172.72.

Top 1% bill above $225.09.

About This Procedure

HCPCS code 74210 was billed by 4 providers across 263 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 242 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.30

Providers Billing

4

National Spending

$14K

Avg/Median Ratio

2.36×

Highly skewed — outlier-driven

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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