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#2007 of 11K

74240

HCPCS Procedure Code

HCPCS code 74240 is the #2,007 most-billed Medicaid procedure code, with $10.2M in payments across 154K claims from 2018–2024. The national median cost per claim is $41.08. Costs vary widely — the 90th percentile is $156.57 per claim, 3.8× the median.

Total Paid

$10.2M

0.00% of all spending

Total Claims

154K

Providers

380

Avg Cost/Claim

$66

National Cost Distribution

How much do providers bill per claim for 74240? Based on 377 providers billing this code nationally.

Median

$41.08

Average

$70.04

Std Dev

$70.63

Max

$604.15

Percentile Distribution (Cost per Claim)

p10
$18.88
p25
$24.31
Median
$41.08
p75
$101.08
p90
$156.57
p95
$186.52
p99
$286.45

50% of providers bill between $24.31 and $101.08 per claim for this code.

90% bill between $18.88 and $156.57.

Top 1% bill above $286.45.

About This Procedure

HCPCS code 74240 was billed by 380 providers across 154K claims, totaling $10.2M in Medicaid payments from 2018–2024. This code was used for 144K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.08

Providers Billing

377

National Spending

$10.2M

Avg/Median Ratio

1.70×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 74240

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$1.3M
2Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$554K
3Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$423K
4Summa Health System

Akron, OH · General Acute Care Hospital

$318K
5Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$232K
61427064310$227K
7Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$227K
81639404171$188K
91457525917$187K
10Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$185K
111902835895$173K
12Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$164K
131689744450$164K
14Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$159K
15The Cooper Health System

Camden, NJ · General Acute Care Hospital

$156K
16Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$155K
17Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$154K
18Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$153K
191801993175$153K
201538244918$142K

Showing top 20 of 380 providers billing this code