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#1104 of 11K

49083

HCPCS Procedure Code

HCPCS code 49083 is the #1,104 most-billed Medicaid procedure code, with $40.7M in payments across 255K claims from 2018–2024. The national median cost per claim is $78.44. Costs vary widely — the 90th percentile is $425.11 per claim, 5.4× the median.

Total Paid

$40.7M

0.00% of all spending

Total Claims

255K

Providers

531

Avg Cost/Claim

$160

National Cost Distribution

How much do providers bill per claim for 49083? Based on 528 providers billing this code nationally.

Median

$78.44

Average

$162.52

Std Dev

$169.81

Max

$1,059.80

Percentile Distribution (Cost per Claim)

p10
$37.09
p25
$54.30
Median
$78.44
p75
$219.70
p90
$425.11
p95
$510.67
p99
$724.39

50% of providers bill between $54.30 and $219.70 per claim for this code.

90% bill between $37.09 and $425.11.

Top 1% bill above $724.39.

About This Procedure

HCPCS code 49083 was billed by 531 providers across 255K claims, totaling $40.7M in Medicaid payments from 2018–2024. This code was used for 142K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.44

Providers Billing

528

National Spending

$40.7M

Avg/Median Ratio

2.07×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 49083

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.1M
2Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$2.0M
3Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$1.4M
4Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$1.2M
5Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$1.1M
6The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$1000K
7Hartford Hospital

Hartford, CT · General Acute Care Hospital

$962K
8University Hospital

Newark, NJ · General Acute Care Hospital

$901K
9Dignity Health

Phoenix, AZ · Rehabilitation Unit

$827K
10Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$796K
111275566200$768K
121750751566$738K
131336192665$640K
14Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$599K
151619928017$585K
16Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$549K
171740283324$523K
18Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$521K
191881666998$496K
20Temple University Hospital Inc

Philadelphia, PA · General Acute Care Hospital

$494K

Showing top 20 of 531 providers billing this code

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