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#2266 of 11K

99174

HCPCS Procedure Code

HCPCS code 99174 is the #2,266 most-billed Medicaid procedure code, with $7.2M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $5.27. Costs vary widely — the 90th percentile is $17.14 per claim, 3.3× the median.

Total Paid

$7.2M

0.00% of all spending

Total Claims

1.2M

Providers

1K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 99174? Based on 805 providers billing this code nationally.

Median

$5.27

Average

$7.68

Std Dev

$11.10

Max

$140.10

Percentile Distribution (Cost per Claim)

p10
$0.25
p25
$2.15
Median
$5.27
p75
$8.99
p90
$17.14
p95
$20.00
p99
$52.92

50% of providers bill between $2.15 and $8.99 per claim for this code.

90% bill between $0.25 and $17.14.

Top 1% bill above $52.92.

About This Procedure

HCPCS code 99174 was billed by 1K providers across 1.2M claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.27

Providers Billing

805

National Spending

$7.2M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99174

#ProviderTotal Paid
11720215346$354K
21194754382$291K
31235212036$271K
4Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$192K
5The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$179K
61801073176$165K
71851846661$162K
81467537290$131K
91861530750$131K
10Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$127K
111073570784$115K
121437605532$109K
131386886117$103K
141114196557$102K
151780694620$100K
161114948288$99K
171407975675$93K
181306873500$90K
191326695255$89K
201144275777$87K

Showing top 20 of 1K providers billing this code