74221
HCPCS Procedure Code
HCPCS code 74221 is the #4,473 most-billed Medicaid procedure code, with $562K in payments across 9K claims from 2018–2024. The national median cost per claim is $64.72. Costs vary widely — the 90th percentile is $135.42 per claim, 2.1× the median.
Total Paid
$562K
0.00% of all spending
Total Claims
9K
Providers
57
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for 74221? Based on 56 providers billing this code nationally.
Median
$64.72
Average
$72.26
Std Dev
$58.59
Max
$277.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.18 and $116.53 per claim for this code.
90% bill between $16.73 and $135.42.
Top 1% bill above $254.45.
About This Procedure
HCPCS code 74221 was billed by 57 providers across 9K claims, totaling $562K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.72
Providers Billing
56
National Spending
$562K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 74221
| # | Provider | Total Paid |
|---|---|---|
| 1 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $134K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $53K |
| 3 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $43K |
| 4 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $32K |
| 5 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $30K |
| 6 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $29K |
| 7 | 1740283324 | $26K |
| 8 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $23K |
| 9 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $18K |
| 10 | 1730133893 | $17K |
| 11 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $14K |
| 12 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $12K |
| 13 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $11K |
| 14 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $10K |
| 15 | 1689653487 | $10K |
| 16 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $9K |
| 17 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $8K |
| 18 | 1679529978 | $8K |
| 19 | 1972004489 | $7K |
| 20 | 1184606600 | $7K |
Showing top 20 of 57 providers billing this code