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#3747 of 11K

46604

HCPCS Procedure Code

HCPCS code 46604 is the #3,747 most-billed Medicaid procedure code, with $1.2M in payments across 2,878 claims from 2018–2024. The national median cost per claim is $388.44.

Total Paid

$1.2M

0.00% of all spending

Total Claims

2,878

Providers

7

Avg Cost/Claim

$429

National Cost Distribution

How much do providers bill per claim for 46604? Based on 7 providers billing this code nationally.

Median

$388.44

Average

$372.23

Std Dev

$123.02

Max

$500.97

Percentile Distribution (Cost per Claim)

p10
$210.77
p25
$300.23
Median
$388.44
p75
$464.23
p90
$495.73
p95
$498.35
p99
$500.45

50% of providers bill between $300.23 and $464.23 per claim for this code.

90% bill between $210.77 and $495.73.

Top 1% bill above $500.45.

About This Procedure

HCPCS code 46604 was billed by 7 providers across 2,878 claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 2,803 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$388.44

Providers Billing

7

National Spending

$1.2M

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 46604

#ProviderTotal Paid
11578744892$785K
21306999792$183K
31386711877$140K
41699206409$112K
51164410825$8K
61851508071$5K
71801051255$2K

Showing top 7 of 7 providers billing this code