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#2630 of 11K

70480

HCPCS Procedure Code

HCPCS code 70480 is the #2,630 most-billed Medicaid procedure code, with $4.5M in payments across 36K claims from 2018–2024. The national median cost per claim is $80.48. Costs vary widely — the 90th percentile is $225.38 per claim, 2.8× the median.

Total Paid

$4.5M

0.00% of all spending

Total Claims

36K

Providers

153

Avg Cost/Claim

$124

National Cost Distribution

How much do providers bill per claim for 70480? Based on 152 providers billing this code nationally.

Median

$80.48

Average

$120.59

Std Dev

$141.55

Max

$1,076.76

Percentile Distribution (Cost per Claim)

p10
$33.49
p25
$42.15
Median
$80.48
p75
$155.98
p90
$225.38
p95
$302.18
p99
$844.83

50% of providers bill between $42.15 and $155.98 per claim for this code.

90% bill between $33.49 and $225.38.

Top 1% bill above $844.83.

About This Procedure

HCPCS code 70480 was billed by 153 providers across 36K claims, totaling $4.5M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.48

Providers Billing

152

National Spending

$4.5M

Avg/Median Ratio

1.50×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70480

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$884K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$417K
3Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$406K
4Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$218K
51639101751$182K
6University Hospital

Newark, NJ · General Acute Care Hospital

$152K
7Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$108K
81740283324$90K
9Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$88K
10Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$83K
11Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$71K
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$68K
13Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$67K
14Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$66K
151972004489$64K
161487608931$62K
171417144239$62K
18Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$61K
191699874248$60K
20Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$51K

Showing top 20 of 153 providers billing this code