#2999 of 11K

49450

HCPCS Procedure Code

HCPCS code 49450 is the #2,999 most-billed Medicaid procedure code, with $2.8M in payments across 10K claims from 2018–2024. The national median cost per claim is $270.07. Costs vary widely — the 90th percentile is $547.62 per claim, 2.0× the median.

Total Paid

$2.8M

0.00% of all spending

Total Claims

10K

Providers

Avg Cost/Claim

$269

National Cost Distribution

How much do providers bill per claim for 49450? Based on 27 providers billing this code nationally.

Median

$270.07

Average

$279.08

Std Dev

$205.37

Max

$770.45

Percentile Distribution (Cost per Claim)

p10

$27.45

p25

$85.70

Median

$270.07

p75

$395.41

p90

$547.62

p95

$583.72

p99

$724.41

50% of providers bill between $85.70 and $395.41 per claim for this code.

90% bill between $27.45 and $547.62.

Top 1% bill above $724.41.

About This Procedure

HCPCS code 49450 was billed by 29 providers across 10K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$270.07

Providers Billing

National Spending

$2.8M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 49450

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1104018423	$674K	$201.76	0.7× median	Below Median
2	1235333972	$597K	$538.58	2.0× median	Above 75th
3	1679004592	$551K	$252.29	0.9× median	Below Median
4	The Queens Medical Center Honolulu, HI · Psychiatric Unit	$322K	$333.56	1.2× median	Above Median
5	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$235K	$525.71	1.9× median	Above 75th
6	1669039533	$66K	$270.07	1.0× median	Above Median
7	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$63K	$304.40	1.1× median	Above Median
8	1104570357	$46K	$437.72	1.6× median	Above 75th
9	1912248915	$43K	$191.56	0.7× median	Below Median
10	1669605747	$36K	$230.53	0.9× median	Below Median
11	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$27K	$770.45	2.9× median	Top 1%
12	1386791218	$27K	$561.18	2.1× median	Top 10%
13	1114393311	$26K	$200.78	0.7× median	Below Median
14	Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital	$25K	$355.68	1.3× median	Above Median
15	1144263849	$17K	$24.65	0.1× median	Below Median
16	1306317961	$8K	$593.39	2.2× median	Top 10%
17	1134194038	$6K	$429.91	1.6× median	Above 75th
18	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$5K	$360.90	1.3× median	Above Median
19	1093768723	$4K	$356.89	1.3× median	Above Median
20	1043977184	$4K	$284.80	1.1× median	Above Median

Showing top 20 of 29 providers billing this code

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