46601
HCPCS Procedure Code
HCPCS code 46601 is the #5,054 most-billed Medicaid procedure code, with $306K in payments across 1,251 claims from 2018–2024. The national median cost per claim is $318.13. Costs vary widely — the 90th percentile is $1,348.20 per claim, 4.2× the median.
Total Paid
$306K
0.00% of all spending
Total Claims
1,251
Providers
9
Avg Cost/Claim
$245
National Cost Distribution
How much do providers bill per claim for 46601? Based on 6 providers billing this code nationally.
Median
$318.13
Average
$582.33
Std Dev
$843.05
Max
$2,278.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $162.31 and $401.51 per claim for this code.
90% bill between $80.67 and $1,348.20.
Top 1% bill above $2,185.67.
About This Procedure
HCPCS code 46601 was billed by 9 providers across 1,251 claims, totaling $306K in Medicaid payments from 2018–2024. This code was used for 1,230 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$318.13
Providers Billing
6
National Spending
$306K
Avg/Median Ratio
1.83×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 46601
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1851369284 | $155K |
| 2 | 1164512851 | $127K |
| 3 | Mount Sinai Hospital New York, NY · Ambulance | $13K |
| 4 | University Of Rochester Rochester, NY · General Acute Care Hospital | $5K |
| 5 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $4K |
| 6 | Sage River Counseling Seattle, WA · Counselor Mental Health | $1K |
| 7 | 1982793410 | $0 |
| 8 | 1144396979 | $0 |
| 9 | 1003804725 | $0 |
Showing top 9 of 9 providers billing this code