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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $5.5M |
| 2 | 1275566200 | $1.9M |
| 3 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $1.3M |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.2M |
| 5 | 1669408159 | $1.1M |
| 6 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $1.1M |
| 7 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $1.1M |
| 8 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.0M |
| 9 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $1.0M |
| 10 | 1679513196 | $1.0M |
| 11 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $953K |
| 12 | Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health | $948K |
| 13 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $916K |
| 14 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $896K |
| 15 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $857K |
| 16 | 1740283324 | $842K |
| 17 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $812K |
| 18 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $803K |
| 19 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $729K |
| 20 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $710K |
Showing top 20 of 2K providers billing this code