#5312 of 11K

70460

HCPCS Procedure Code

HCPCS code 70460 is the #5,312 most-billed Medicaid procedure code, with $231K in payments across 3K claims from 2018–2024. The national median cost per claim is $35.42. Costs vary widely — the 90th percentile is $172.38 per claim, 4.9× the median.

Total Paid

$231K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for 70460? Based on 34 providers billing this code nationally.

Median

$35.42

Average

$67.58

Std Dev

$70.66

Max

$298.36

Percentile Distribution (Cost per Claim)

p10

$16.90

p25

$29.96

Median

$35.42

p75

$77.66

p90

$172.38

p95

$212.12

p99

$286.38

50% of providers bill between $29.96 and $77.66 per claim for this code.

90% bill between $16.90 and $172.38.

Top 1% bill above $286.38.

About This Procedure

HCPCS code 70460 was billed by 35 providers across 3K claims, totaling $231K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.42

Providers Billing

National Spending

$231K

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70460

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1548374549	$78K	$298.36	8.4× median	Top 1%
2	1952476665	$42K	$182.86	5.2× median	Top 10%
3	1265400378	$19K	$66.35	1.9× median	Above Median
4	1740283324	$19K	$29.93	0.8× median	Below Median
5	1538166236	$14K	$85.96	2.4× median	Above 75th
6	1720166325	$7K	$59.85	1.7× median	Above Median
7	Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital	$7K	$147.94	4.2× median	Above 75th
8	Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging	$5K	$100.90	2.8× median	Above 75th
9	1073827101	$4K	$30.11	0.9× median	Below Median
10	1871528026	$4K	$30.49	0.9× median	Below Median
11	1205882503	$3K	$262.06	7.4× median	Top 10%
12	1487608931	$3K	$43.91	1.2× median	Above Median
13	1376719666	$3K	$23.99	0.7× median	Below Median
14	1427123132	$3K	$76.42	2.2× median	Above Median
15	1073811378	$3K	$185.23	5.2× median	Top 10%
16	1598260929	$3K	$78.07	2.2× median	Above 75th
17	1659347771	$2K	$43.25	1.2× median	Above Median
18	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$2K	$120.91	3.4× median	Above 75th
19	1902877426	$2K	$32.35	0.9× median	Below Median
20	1629070149	$1K	$33.60	0.9× median	Below Median

Showing top 20 of 35 providers billing this code

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