96146
HCPCS Procedure Code
HCPCS code 96146 is the #4,981 most-billed Medicaid procedure code, with $331K in payments across 45K claims from 2018–2024. The national median cost per claim is $0.79. Costs vary widely — the 90th percentile is $14.81 per claim, 18.7× the median.
Total Paid
$331K
0.00% of all spending
Total Claims
45K
Providers
144
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 96146? Based on 116 providers billing this code nationally.
Median
$0.79
Average
$6.10
Std Dev
$19.95
Max
$128.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.29 and $1.58 per claim for this code.
90% bill between $0.08 and $14.81.
Top 1% bill above $123.26.
About This Procedure
HCPCS code 96146 was billed by 144 providers across 45K claims, totaling $331K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.79
Providers Billing
116
National Spending
$331K
Avg/Median Ratio
7.72×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 96146
| # | Provider | Total Paid |
|---|---|---|
| 1 | Summa Health System Akron, OH · General Acute Care Hospital | $208K |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $31K |
| 3 | 1104119619 | $20K |
| 4 | 1023730421 | $11K |
| 5 | 1265977714 | $10K |
| 6 | 1245692581 | $8K |
| 7 | 1447304142 | $7K |
| 8 | 1053896415 | $4K |
| 9 | Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital | $3K |
| 10 | 1306280177 | $3K |
| 11 | Akron General Medical Center Akron, OH · General Acute Care Hospital | $2K |
| 12 | 1396202206 | $2K |
| 13 | 1003869520 | $2K |
| 14 | 1538400668 | $2K |
| 15 | 1578754503 | $1K |
| 16 | 1548760820 | $910 |
| 17 | Vallivue School District #139 Caldwell, ID · Local Education Agency (LEA) | $907 |
| 18 | 1679233266 | $898 |
| 19 | 1427009638 | $727 |
| 20 | 1194023366 | $699 |
Showing top 20 of 144 providers billing this code