46221
HCPCS Procedure Code
HCPCS code 46221 is the #2,535 most-billed Medicaid procedure code, with $5.1M in payments across 30K claims from 2018–2024. The national median cost per claim is $120.31. Costs vary widely — the 90th percentile is $249.40 per claim, 2.1× the median.
Total Paid
$5.1M
0.00% of all spending
Total Claims
30K
Providers
82
Avg Cost/Claim
$172
National Cost Distribution
How much do providers bill per claim for 46221? Based on 80 providers billing this code nationally.
Median
$120.31
Average
$146.76
Std Dev
$126.70
Max
$801.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $70.98 and $183.61 per claim for this code.
90% bill between $43.90 and $249.40.
Top 1% bill above $610.37.
About This Procedure
HCPCS code 46221 was billed by 82 providers across 30K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$120.31
Providers Billing
80
National Spending
$5.1M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 46221
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770823551 | $1.3M |
| 2 | 1073923561 | $562K |
| 3 | 1376774208 | $490K |
| 4 | 1356654610 | $396K |
| 5 | 1962526509 | $301K |
| 6 | 1346880838 | $232K |
| 7 | 1730322645 | $199K |
| 8 | 1487677951 | $184K |
| 9 | 1598966301 | $182K |
| 10 | 1154398568 | $142K |
| 11 | 1689612954 | $103K |
| 12 | 1225053523 | $85K |
| 13 | 1922099415 | $82K |
| 14 | 1548419005 | $77K |
| 15 | 1932202959 | $71K |
| 16 | 1417446501 | $70K |
| 17 | 1083742357 | $55K |
| 18 | 1063593739 | $53K |
| 19 | 1669554887 | $51K |
| 20 | 1386971687 | $50K |
Showing top 20 of 82 providers billing this code