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#661 of 11K

70496

HCPCS Procedure Code

HCPCS code 70496 is the #661 most-billed Medicaid procedure code, with $112.7M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $78.92. Costs vary widely — the 90th percentile is $254.22 per claim, 3.2× the median.

Total Paid

$112.7M

0.01% of all spending

Total Claims

1.1M

Providers

2K

Avg Cost/Claim

$105

National Cost Distribution

How much do providers bill per claim for 70496? Based on 2K providers billing this code nationally.

Median

$78.92

Average

$116.00

Std Dev

$105.19

Max

$769.85

Percentile Distribution (Cost per Claim)

p10
$29.95
p25
$45.97
Median
$78.92
p75
$155.23
p90
$254.22
p95
$306.57
p99
$510.36

50% of providers bill between $45.97 and $155.23 per claim for this code.

90% bill between $29.95 and $254.22.

Top 1% bill above $510.36.

About This Procedure

HCPCS code 70496 was billed by 2K providers across 1.1M claims, totaling $112.7M in Medicaid payments from 2018–2024. This code was used for 992K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.92

Providers Billing

2K

National Spending

$112.7M

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70496

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$5.5M
21275566200$1.9M
3Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$1.3M
4Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.2M
51669408159$1.1M
6Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$1.1M
7Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$1.1M
8Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.0M
9Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$1.0M
101679513196$1.0M
11Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$953K
12Banner Thunderbird Medical Center

Glendale, AZ · Community/Behavioral Health

$948K
13Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$916K
14The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$896K
15Hartford Hospital

Hartford, CT · General Acute Care Hospital

$857K
161740283324$842K
17Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$812K
18Multicare Health System

Tacoma, WA · Community/Behavioral Health

$803K
19Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$729K
20Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$710K

Showing top 20 of 2K providers billing this code