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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1578744892 | $785K |
| 2 | 1306999792 | $183K |
| 3 | 1386711877 | $140K |
| 4 | 1699206409 | $112K |
| 5 | 1164410825 | $8K |
| 6 | 1851508071 | $5K |
| 7 | 1801051255 | $2K |
Showing top 7 of 7 providers billing this code