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#5050 of 11K

49446

HCPCS Procedure Code

HCPCS code 49446 is the #5,050 most-billed Medicaid procedure code, with $307K in payments across 354 claims from 2018–2024. The national median cost per claim is $400.68. Costs vary widely — the 90th percentile is $1,402.38 per claim, 3.5× the median.

Total Paid

$307K

0.00% of all spending

Total Claims

354

Providers

7

Avg Cost/Claim

$867

National Cost Distribution

How much do providers bill per claim for 49446? Based on 7 providers billing this code nationally.

Median

$400.68

Average

$606.13

Std Dev

$567.91

Max

$1,434.52

Percentile Distribution (Cost per Claim)

p10
$95.55
p25
$257.96
Median
$400.68
p75
$919.41
p90
$1,402.38
p95
$1,418.45
p99
$1,431.31

50% of providers bill between $257.96 and $919.41 per claim for this code.

90% bill between $95.55 and $1,402.38.

Top 1% bill above $1,431.31.

About This Procedure

HCPCS code 49446 was billed by 7 providers across 354 claims, totaling $307K in Medicaid payments from 2018–2024. This code was used for 316 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$400.68

Providers Billing

7

National Spending

$307K

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 49446

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$241K
2Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$31K
3Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$19K
41699720086$5K
5Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$5K
61740283324$3K
71326695255$2K

Showing top 7 of 7 providers billing this code