49320
HCPCS Procedure Code
HCPCS code 49320 is the #5,848 most-billed Medicaid procedure code, with $129K in payments across 603 claims from 2018–2024. The national median cost per claim is $203.61. Costs vary widely — the 90th percentile is $499.00 per claim, 2.5× the median.
Total Paid
$129K
0.00% of all spending
Total Claims
603
Providers
8
Avg Cost/Claim
$214
National Cost Distribution
How much do providers bill per claim for 49320? Based on 8 providers billing this code nationally.
Median
$203.61
Average
$293.86
Std Dev
$336.76
Max
$1,116.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $164.61 and $220.77 per claim for this code.
90% bill between $98.54 and $499.00.
Top 1% bill above $1,055.06.
About This Procedure
HCPCS code 49320 was billed by 8 providers across 603 claims, totaling $129K in Medicaid payments from 2018–2024. This code was used for 548 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$203.61
Providers Billing
8
National Spending
$129K
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 49320
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194723726 | $45K |
| 2 | 1164736401 | $28K |
| 3 | 1487706214 | $22K |
| 4 | 1679879589 | $19K |
| 5 | 1902980865 | $7K |
| 6 | 1518989193 | $3K |
| 7 | 1043203136 | $3K |
| 8 | 1174640163 | $3K |
Showing top 8 of 8 providers billing this code