44970
HCPCS Procedure Code
HCPCS code 44970 is the #764 most-billed Medicaid procedure code, with $85.7M in payments across 33K claims from 2018–2024. The national median cost per claim is $1,699.18. Costs vary widely — the 90th percentile is $4,318.19 per claim, 2.5× the median.
Total Paid
$85.7M
0.01% of all spending
Total Claims
33K
Providers
167
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for 44970? Based on 166 providers billing this code nationally.
Median
$1,699.18
Average
$1,944.71
Std Dev
$1,650.81
Max
$7,349.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $470.91 and $2,973.71 per claim for this code.
90% bill between $266.23 and $4,318.19.
Top 1% bill above $6,231.47.
About This Procedure
HCPCS code 44970 was billed by 167 providers across 33K claims, totaling $85.7M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,699.18
Providers Billing
166
National Spending
$85.7M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 44970
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $14.4M |
| 2 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $10.0M |
| 3 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $6.3M |
| 4 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $6.2M |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $4.6M |
| 6 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $2.7M |
| 7 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $2.6M |
| 8 | Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health | $2.6M |
| 9 | 1306952726 | $2.4M |
| 10 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $2.2M |
| 11 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $1.8M |
| 12 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $1.7M |
| 13 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $1.7M |
| 14 | 1144471715 | $1.5M |
| 15 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $1.4M |
| 16 | Kadlec Regional Medical Center Richland, WA · General Acute Care Hospital | $1.2M |
| 17 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $1.2M |
| 18 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $1.0M |
| 19 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $975K |
| 20 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $960K |
Showing top 20 of 167 providers billing this code