46930
HCPCS Procedure Code
HCPCS code 46930 is the #3,941 most-billed Medicaid procedure code, with $998K in payments across 13K claims from 2018–2024. The national median cost per claim is $97.64. Costs vary widely — the 90th percentile is $355.49 per claim, 3.6× the median.
Total Paid
$998K
0.00% of all spending
Total Claims
13K
Providers
22
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for 46930? Based on 21 providers billing this code nationally.
Median
$97.64
Average
$162.95
Std Dev
$166.19
Max
$730.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $77.35 and $164.98 per claim for this code.
90% bill between $48.53 and $355.49.
Top 1% bill above $675.49.
About This Procedure
HCPCS code 46930 was billed by 22 providers across 13K claims, totaling $998K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$97.64
Providers Billing
21
National Spending
$998K
Avg/Median Ratio
1.67×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 46930
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225053523 | $315K |
| 2 | 1992982680 | $238K |
| 3 | 1093781601 | $112K |
| 4 | 1619398542 | $76K |
| 5 | 1649376112 | $70K |
| 6 | 1306006879 | $54K |
| 7 | 1760439921 | $26K |
| 8 | 1952497117 | $26K |
| 9 | 1518967769 | $24K |
| 10 | 1730614330 | $13K |
| 11 | 1851369284 | $10K |
| 12 | 1497119655 | $7K |
| 13 | 1619964806 | $6K |
| 14 | 1396738936 | $5K |
| 15 | 1275588600 | $5K |
| 16 | 1528009396 | $4K |
| 17 | 1689009854 | $2K |
| 18 | 1932202959 | $2K |
| 19 | 1750449443 | $2K |
| 20 | 1922050509 | $1K |
Showing top 20 of 22 providers billing this code