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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.3M |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $554K |
| 3 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $423K |
| 4 | Summa Health System Akron, OH · General Acute Care Hospital | $318K |
| 5 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $232K |
| 6 | 1427064310 | $227K |
| 7 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $227K |
| 8 | 1639404171 | $188K |
| 9 | 1457525917 | $187K |
| 10 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $185K |
| 11 | 1902835895 | $173K |
| 12 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $164K |
| 13 | 1689744450 | $164K |
| 14 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $159K |
| 15 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $156K |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $155K |
| 17 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $154K |
| 18 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $153K |
| 19 | 1801993175 | $153K |
| 20 | 1538244918 | $142K |
Showing top 20 of 380 providers billing this code