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#5054 of 11K

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)

p10
$80.67
p25
$162.31
Median
$318.13
p75
$401.51
p90
$1,348.20
p95
$1,813.46
p99
$2,185.67

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

#ProviderTotal Paid
11851369284$155K
21164512851$127K
3Mount Sinai Hospital

New York, NY · Ambulance

$13K
4University Of Rochester

Rochester, NY · General Acute Care Hospital

$5K
5Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$4K
6Sage River Counseling

Seattle, WA · Counselor Mental Health

$1K
71982793410$0
81144396979$0
91003804725$0

Showing top 9 of 9 providers billing this code