#5076 of 11K

70490

HCPCS Procedure Code

HCPCS code 70490 is the #5,076 most-billed Medicaid procedure code, with $301K in payments across 6K claims from 2018–2024. The national median cost per claim is $40.75. Costs vary widely — the 90th percentile is $187.57 per claim, 4.6× the median.

Total Paid

$301K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$50

National Cost Distribution

How much do providers bill per claim for 70490? Based on 48 providers billing this code nationally.

Median

$40.75

Average

$80.04

Std Dev

$73.85

Max

$361.72

Percentile Distribution (Cost per Claim)

p10

$32.20

p25

$34.89

Median

$40.75

p75

$112.19

p90

$187.57

p95

$215.13

p99

$302.39

50% of providers bill between $34.89 and $112.19 per claim for this code.

90% bill between $32.20 and $187.57.

Top 1% bill above $302.39.

About This Procedure

HCPCS code 70490 was billed by 48 providers across 6K claims, totaling $301K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.75

Providers Billing

National Spending

$301K

Avg/Median Ratio

1.96×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70490

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1871528026	$42K	$34.72	0.9× median	Below Median
2	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$32K	$142.64	3.5× median	Above 75th
3	1487608931	$24K	$31.83	0.8× median	Below Median
4	University Of Kentucky Lexington, KY · General Acute Care Hospital	$22K	$361.72	8.9× median	Top 1%
5	1740283324	$18K	$32.58	0.8× median	Below Median
6	1376719666	$16K	$34.46	0.8× median	Below Median
7	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$15K	$171.02	4.2× median	Above 75th
8	1366495988	$15K	$23.94	0.6× median	Below Median
9	1558539130	$13K	$43.59	1.1× median	Above Median
10	1720166325	$10K	$65.89	1.6× median	Above Median
11	1144872052	$10K	$39.35	1.0× median	Below Median
12	Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital	$8K	$151.58	3.7× median	Above 75th
13	1821002007	$7K	$76.70	1.9× median	Above Median
14	1215394036	$6K	$33.88	0.8× median	Below Median
15	1508856535	$6K	$220.27	5.4× median	Top 10%
16	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$6K	$205.59	5.0× median	Top 10%
17	1043204316	$4K	$29.48	0.7× median	Below Median
18	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$4K	$111.70	2.7× median	Above Median
19	1487740957	$4K	$235.49	5.8× median	Top 10%
20	1255962783	$3K	$27.32	0.7× median	Below Median

Showing top 20 of 48 providers billing this code

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70496$112.7M 70486$100.4M 70498$93.3M 70491$56.7M 70487$4.9M

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