0460
HCPCS Procedure Code
HCPCS code 0460 is the #5,665 most-billed Medicaid procedure code, with $158K in payments across 14K claims from 2018–2024. The national median cost per claim is $16.04. Costs vary widely — the 90th percentile is $220.87 per claim, 13.8× the median.
Total Paid
$158K
0.00% of all spending
Total Claims
14K
Providers
34
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 0460? Based on 9 providers billing this code nationally.
Median
$16.04
Average
$88.64
Std Dev
$183.62
Max
$563.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.14 and $59.41 per claim for this code.
90% bill between $0.11 and $220.87.
Top 1% bill above $529.58.
About This Procedure
HCPCS code 0460 was billed by 34 providers across 14K claims, totaling $158K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.04
Providers Billing
9
National Spending
$158K
Avg/Median Ratio
5.53×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0460
| # | Provider | Total Paid |
|---|---|---|
| 1 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $109K |
| 2 | 1639523004 | $33K |
| 3 | 1265468946 | $11K |
| 4 | 1114547114 | $4K |
| 5 | 1194840421 | $1K |
| 6 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $403 |
| 7 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $210 |
| 8 | 1578529285 | $85 |
| 9 | 1336328244 | $50 |
| 10 | 1063441293 | $0 |
| 11 | 1275578817 | $0 |
| 12 | 1831188275 | $0 |
| 13 | 1992733513 | $0 |
| 14 | 1215927470 | $0 |
| 15 | 1235120676 | $0 |
| 16 | 1922033547 | $0 |
| 17 | 1710109186 | $0 |
| 18 | 1073665360 | $0 |
| 19 | 1821002007 | $0 |
| 20 | 1720128556 | $0 |
Showing top 20 of 34 providers billing this code