46255
HCPCS Procedure Code
HCPCS code 46255 is the #6,745 most-billed Medicaid procedure code, with $45K in payments across 71 claims from 2018–2024. The national median cost per claim is $368.03. Costs vary widely — the 90th percentile is $1,039.62 per claim, 2.8× the median.
Total Paid
$45K
0.00% of all spending
Total Claims
71
Providers
3
Avg Cost/Claim
$633
National Cost Distribution
How much do providers bill per claim for 46255? Based on 3 providers billing this code nationally.
Median
$368.03
Average
$641.29
Std Dev
$490.48
Max
$1,207.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $358.17 and $787.77 per claim for this code.
90% bill between $352.25 and $1,039.62.
Top 1% bill above $1,190.73.
About This Procedure
HCPCS code 46255 was billed by 3 providers across 71 claims, totaling $45K in Medicaid payments from 2018–2024. This code was used for 50 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$368.03
Providers Billing
3
National Spending
$45K
Avg/Median Ratio
1.74×
Moderately skewed
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.