46946
HCPCS Procedure Code
HCPCS code 46946 is the #5,520 most-billed Medicaid procedure code, with $183K in payments across 335 claims from 2018–2024. The national median cost per claim is $203.75. Costs vary widely — the 90th percentile is $953.04 per claim, 4.7× the median.
Total Paid
$183K
0.00% of all spending
Total Claims
335
Providers
5
Avg Cost/Claim
$545
National Cost Distribution
How much do providers bill per claim for 46946? Based on 5 providers billing this code nationally.
Median
$203.75
Average
$416.16
Std Dev
$562.16
Max
$1,414.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $104.86 and $261.33 per claim for this code.
90% bill between $99.94 and $953.04.
Top 1% bill above $1,368.06.
About This Procedure
HCPCS code 46946 was billed by 5 providers across 335 claims, totaling $183K in Medicaid payments from 2018–2024. This code was used for 314 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$203.75
Providers Billing
5
National Spending
$183K
Avg/Median Ratio
2.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 46946
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730834904 | $132K |
| 2 | 1023335213 | $28K |
| 3 | 1619964806 | $19K |
| 4 | 1225053523 | $3K |
| 5 | 1326370677 | $1K |
Showing top 5 of 5 providers billing this code