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#5083 of 11K

49082

HCPCS Procedure Code

HCPCS code 49082 is the #5,083 most-billed Medicaid procedure code, with $298K in payments across 842 claims from 2018–2024. The national median cost per claim is $70.34. Costs vary widely — the 90th percentile is $319.96 per claim, 4.5× the median.

Total Paid

$298K

0.00% of all spending

Total Claims

842

Providers

8

Avg Cost/Claim

$354

National Cost Distribution

How much do providers bill per claim for 49082? Based on 8 providers billing this code nationally.

Median

$70.34

Average

$154.19

Std Dev

$163.02

Max

$499.57

Percentile Distribution (Cost per Claim)

p10
$41.42
p25
$44.10
Median
$70.34
p75
$230.67
p90
$319.96
p95
$409.77
p99
$481.61

50% of providers bill between $44.10 and $230.67 per claim for this code.

90% bill between $41.42 and $319.96.

Top 1% bill above $481.61.

About This Procedure

HCPCS code 49082 was billed by 8 providers across 842 claims, totaling $298K in Medicaid payments from 2018–2024. This code was used for 547 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$70.34

Providers Billing

8

National Spending

$298K

Avg/Median Ratio

2.19×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 49082

#ProviderTotal Paid
1Mount Sinai Hospital

New York, NY · Ambulance

$273K
2Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$9K
31558463927$5K
4Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$5K
51508942681$4K
61699938282$1K
71588937064$877
81992746903$428

Showing top 8 of 8 providers billing this code

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