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#5655 of 11K

70481

HCPCS Procedure Code

HCPCS code 70481 is the #5,655 most-billed Medicaid procedure code, with $160K in payments across 2K claims from 2018–2024. The national median cost per claim is $87.27. Costs vary widely — the 90th percentile is $365.40 per claim, 4.2× the median.

Total Paid

$160K

0.00% of all spending

Total Claims

2K

Providers

21

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for 70481? Based on 21 providers billing this code nationally.

Median

$87.27

Average

$145.57

Std Dev

$161.56

Max

$628.66

Percentile Distribution (Cost per Claim)

p10
$32.02
p25
$34.52
Median
$87.27
p75
$210.10
p90
$365.40
p95
$435.82
p99
$590.09

50% of providers bill between $34.52 and $210.10 per claim for this code.

90% bill between $32.02 and $365.40.

Top 1% bill above $590.09.

About This Procedure

HCPCS code 70481 was billed by 21 providers across 2K claims, totaling $160K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$87.27

Providers Billing

21

National Spending

$160K

Avg/Median Ratio

1.67×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70481

#ProviderTotal Paid
11740283324$45K
2Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$24K
31699874248$14K
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$14K
5Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$11K
6Stanford Health Care

Stanford, CA · General Acute Care Hospital

$10K
7Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$9K
81508942681$5K
9Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$4K
10Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$4K
11Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$4K
121679529978$4K
13Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$3K
141871528026$2K
15Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1K
16Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$1K
17William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$826
18Regents Of The University Of Michigan

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

$704
19West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$596
201154367803$532

Showing top 20 of 21 providers billing this code