70498
HCPCS Procedure Code
HCPCS code 70498 is the #733 most-billed Medicaid procedure code, with $93.3M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $58.88. Costs vary widely — the 90th percentile is $206.78 per claim, 3.5× the median.
Total Paid
$93.3M
0.01% of all spending
Total Claims
1.2M
Providers
2K
Avg Cost/Claim
$81
National Cost Distribution
How much do providers bill per claim for 70498? Based on 2K providers billing this code nationally.
Median
$58.88
Average
$91.40
Std Dev
$110.68
Max
$2,056.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.61 and $102.63 per claim for this code.
90% bill between $15.52 and $206.78.
Top 1% bill above $483.53.
About This Procedure
HCPCS code 70498 was billed by 2K providers across 1.2M claims, totaling $93.3M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.88
Providers Billing
2K
National Spending
$93.3M
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 70498
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $4.2M |
| 2 | 1669408159 | $1.6M |
| 3 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $1.5M |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.4M |
| 5 | 1336192665 | $1.2M |
| 6 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $1.1M |
| 7 | 1679513196 | $1.1M |
| 8 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $1.1M |
| 9 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $916K |
| 10 | 1700910189 | $904K |
| 11 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $869K |
| 12 | 1770690695 | $841K |
| 13 | 1740283324 | $807K |
| 14 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $802K |
| 15 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $800K |
| 16 | 1265423917 | $736K |
| 17 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $710K |
| 18 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $682K |
| 19 | 1548393127 | $681K |
| 20 | 1528169125 | $680K |
Showing top 20 of 2K providers billing this code