74241
HCPCS Procedure Code
HCPCS code 74241 is the #4,345 most-billed Medicaid procedure code, with $648K in payments across 8K claims from 2018–2024. The national median cost per claim is $51.23. Costs vary widely — the 90th percentile is $172.22 per claim, 3.4× the median.
Total Paid
$648K
0.00% of all spending
Total Claims
8K
Providers
91
Avg Cost/Claim
$79
National Cost Distribution
How much do providers bill per claim for 74241? Based on 89 providers billing this code nationally.
Median
$51.23
Average
$75.62
Std Dev
$73.35
Max
$403.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.33 and $105.58 per claim for this code.
90% bill between $18.06 and $172.22.
Top 1% bill above $308.33.
About This Procedure
HCPCS code 74241 was billed by 91 providers across 8K claims, totaling $648K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.23
Providers Billing
89
National Spending
$648K
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 74241
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $60K |
| 2 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $51K |
| 3 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $48K |
| 4 | 1538244918 | $45K |
| 5 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $44K |
| 6 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $38K |
| 7 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $30K |
| 8 | 1790747491 | $26K |
| 9 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $23K |
| 10 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $21K |
| 11 | 1962464016 | $20K |
| 12 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $19K |
| 13 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $17K |
| 14 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $12K |
| 15 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $12K |
| 16 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $10K |
| 17 | 1013981554 | $9K |
| 18 | University Of Washington Seattle, WA · Clinic/Center, Dental | $9K |
| 19 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $8K |
| 20 | Clara Maass Medical Center Belleville, NJ · General Acute Care Hospital | $7K |
Showing top 20 of 91 providers billing this code