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#5575 of 11K

21046

HCPCS Procedure Code

HCPCS code 21046 is the #5,575 most-billed Medicaid procedure code, with $174K in payments across 261 claims from 2018–2024. The national median cost per claim is $692.65.

Total Paid

$174K

0.00% of all spending

Total Claims

261

Providers

2

Avg Cost/Claim

$666

National Cost Distribution

How much do providers bill per claim for 21046? Based on 2 providers billing this code nationally.

Median

$692.65

Average

$692.65

Std Dev

$74.69

Max

$745.46

Percentile Distribution (Cost per Claim)

p10
$650.39
p25
$666.24
Median
$692.65
p75
$719.05
p90
$734.90
p95
$740.18
p99
$744.40

50% of providers bill between $666.24 and $719.05 per claim for this code.

90% bill between $650.39 and $734.90.

Top 1% bill above $744.40.

About This Procedure

HCPCS code 21046 was billed by 2 providers across 261 claims, totaling $174K in Medicaid payments from 2018–2024. This code was used for 219 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$692.65

Providers Billing

2

National Spending

$174K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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