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#4981 of 11K

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)

p10
$0.08
p25
$0.29
Median
$0.79
p75
$1.58
p90
$14.81
p95
$21.61
p99
$123.26

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

#ProviderTotal Paid
1Summa Health System

Akron, OH · General Acute Care Hospital

$208K
2The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$31K
31104119619$20K
41023730421$11K
51265977714$10K
61245692581$8K
71447304142$7K
81053896415$4K
9Eastern Maine Medical Center

Bangor, ME · General Acute Care Hospital

$3K
101306280177$3K
11Akron General Medical Center

Akron, OH · General Acute Care Hospital

$2K
121396202206$2K
131003869520$2K
141538400668$2K
151578754503$1K
161548760820$910
17Vallivue School District #139

Caldwell, ID · Local Education Agency (LEA)

$907
181679233266$898
191427009638$727
201194023366$699

Showing top 20 of 144 providers billing this code