49452
HCPCS Procedure Code
HCPCS code 49452 is the #1,862 most-billed Medicaid procedure code, with $12.6M in payments across 31K claims from 2018–2024. The national median cost per claim is $279.23. Costs vary widely — the 90th percentile is $899.32 per claim, 3.2× the median.
Total Paid
$12.6M
0.00% of all spending
Total Claims
31K
Providers
84
Avg Cost/Claim
$408
National Cost Distribution
How much do providers bill per claim for 49452? Based on 83 providers billing this code nationally.
Median
$279.23
Average
$395.73
Std Dev
$430.52
Max
$2,942.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $86.96 and $546.50 per claim for this code.
90% bill between $67.41 and $899.32.
Top 1% bill above $1,603.25.
About This Procedure
HCPCS code 49452 was billed by 84 providers across 31K claims, totaling $12.6M in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$279.23
Providers Billing
83
National Spending
$12.6M
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 49452
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Corporation Boston, MA · Clinic/Center | $2.9M |
| 2 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.5M |
| 3 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $1.1M |
| 4 | 1669657318 | $787K |
| 5 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $645K |
| 6 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $494K |
| 7 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $398K |
| 8 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $380K |
| 9 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $282K |
| 10 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $278K |
| 11 | 1215392030 | $240K |
| 12 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $239K |
| 13 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $228K |
| 14 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $205K |
| 15 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $184K |
| 16 | 1740283324 | $176K |
| 17 | Texas Children's Physician Group Houston, TX · Pediatrics | $174K |
| 18 | 1912932997 | $156K |
| 19 | 1528012168 | $149K |
| 20 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $146K |
Showing top 20 of 84 providers billing this code