46500
HCPCS Procedure Code
HCPCS code 46500 is the #5,213 most-billed Medicaid procedure code, with $260K in payments across 4,056 claims from 2018–2024. The national median cost per claim is $107.68. Costs vary widely — the 90th percentile is $322.69 per claim, 3.0× the median.
Total Paid
$260K
0.00% of all spending
Total Claims
4,056
Providers
13
Avg Cost/Claim
$64
National Cost Distribution
How much do providers bill per claim for 46500? Based on 13 providers billing this code nationally.
Median
$107.68
Average
$132.78
Std Dev
$118.08
Max
$362.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $44.24 and $179.78 per claim for this code.
90% bill between $17.58 and $322.69.
Top 1% bill above $360.75.
About This Procedure
HCPCS code 46500 was billed by 13 providers across 4,056 claims, totaling $260K in Medicaid payments from 2018–2024. This code was used for 2,488 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$107.68
Providers Billing
13
National Spending
$260K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 46500
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225053523 | $132K |
| 2 | 1386711877 | $32K |
| 3 | 1265494371 | $28K |
| 4 | 1356310809 | $19K |
| 5 | 1780649111 | $18K |
| 6 | 1073923561 | $12K |
| 7 | 1245883891 | $6K |
| 8 | 1275640609 | $5K |
| 9 | 1639487002 | $4K |
| 10 | 1992965974 | $3K |
| 11 | 1073575668 | $1K |
| 12 | 1306111448 | $835 |
| 13 | 1326093675 | $199 |
Showing top 13 of 13 providers billing this code