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#4648 of 11K

46230

HCPCS Procedure Code

HCPCS code 46230 is the #4,648 most-billed Medicaid procedure code, with $470K in payments across 3,966 claims from 2018–2024. The national median cost per claim is $89.54.

Total Paid

$470K

0.00% of all spending

Total Claims

3,966

Providers

2

Avg Cost/Claim

$119

National Cost Distribution

How much do providers bill per claim for 46230? Based on 2 providers billing this code nationally.

Median

$89.54

Average

$89.54

Std Dev

$41.80

Max

$119.10

Percentile Distribution (Cost per Claim)

p10
$65.89
p25
$74.76
Median
$89.54
p75
$104.32
p90
$113.19
p95
$116.14
p99
$118.51

50% of providers bill between $74.76 and $104.32 per claim for this code.

90% bill between $65.89 and $113.19.

Top 1% bill above $118.51.

About This Procedure

HCPCS code 46230 was billed by 2 providers across 3,966 claims, totaling $470K in Medicaid payments from 2018–2024. This code was used for 3,805 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.54

Providers Billing

2

National Spending

$470K

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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