49905
HCPCS Procedure Code
HCPCS code 49905 is the #6,582 most-billed Medicaid procedure code, with $54K in payments across 353 claims from 2018–2024. The national median cost per claim is $251.48.
Total Paid
$54K
0.00% of all spending
Total Claims
353
Providers
6
Avg Cost/Claim
$153
National Cost Distribution
How much do providers bill per claim for 49905? Based on 6 providers billing this code nationally.
Median
$251.48
Average
$219.37
Std Dev
$81.88
Max
$287.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $161.97 and $284.35 per claim for this code.
90% bill between $119.73 and $286.90.
Top 1% bill above $287.65.
About This Procedure
HCPCS code 49905 was billed by 6 providers across 353 claims, totaling $54K in Medicaid payments from 2018–2024. This code was used for 248 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$251.48
Providers Billing
6
National Spending
$54K
Avg/Median Ratio
0.87×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 49905
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114539731 | $20K |
| 2 | 1811167182 | $18K |
| 3 | 1649892225 | $5K |
| 4 | 1720028772 | $4K |
| 5 | 1174704951 | $3K |
| 6 | 1821127002 | $3K |
Showing top 6 of 6 providers billing this code