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#3099 of 11K

74220

HCPCS Procedure Code

HCPCS code 74220 is the #3,099 most-billed Medicaid procedure code, with $2.5M in payments across 45K claims from 2018–2024. The national median cost per claim is $33.74. Costs vary widely — the 90th percentile is $105.83 per claim, 3.1× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

45K

Providers

278

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for 74220? Based on 272 providers billing this code nationally.

Median

$33.74

Average

$50.38

Std Dev

$52.78

Max

$471.18

Percentile Distribution (Cost per Claim)

p10
$11.49
p25
$16.94
Median
$33.74
p75
$66.89
p90
$105.83
p95
$129.62
p99
$231.44

50% of providers bill between $16.94 and $66.89 per claim for this code.

90% bill between $11.49 and $105.83.

Top 1% bill above $231.44.

About This Procedure

HCPCS code 74220 was billed by 278 providers across 45K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.74

Providers Billing

272

National Spending

$2.5M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 74220

#ProviderTotal Paid
1New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$434K
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$146K
3Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$96K
4Hartford Hospital

Hartford, CT · General Acute Care Hospital

$78K
5Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$77K
6Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$77K
7University Of Kentucky

Lexington, KY · General Acute Care Hospital

$70K
8Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$67K
9Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$56K
10State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$56K
11New York University

Boynton Beach, FL · Anesthesiology

$53K
12United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$51K
13Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$46K
14Dignity Health

Phoenix, AZ · Rehabilitation Unit

$43K
151740283324$38K
16Stanford Health Care

Stanford, CA · General Acute Care Hospital

$35K
17Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$31K
18Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$31K
191982720249$29K
20Regents Of The University Of Michigan

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

$28K

Showing top 20 of 278 providers billing this code