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#936 of 11K

70491

HCPCS Procedure Code

HCPCS code 70491 is the #936 most-billed Medicaid procedure code, with $56.7M in payments across 440K claims from 2018–2024. The national median cost per claim is $98.20. Costs vary widely — the 90th percentile is $293.13 per claim, 3.0× the median.

Total Paid

$56.7M

0.01% of all spending

Total Claims

440K

Providers

1K

Avg Cost/Claim

$129

National Cost Distribution

How much do providers bill per claim for 70491? Based on 1K providers billing this code nationally.

Median

$98.20

Average

$133.91

Std Dev

$113.12

Max

$904.08

Percentile Distribution (Cost per Claim)

p10
$36.08
p25
$47.22
Median
$98.20
p75
$191.54
p90
$293.13
p95
$342.27
p99
$487.24

50% of providers bill between $47.22 and $191.54 per claim for this code.

90% bill between $36.08 and $293.13.

Top 1% bill above $487.24.

About This Procedure

HCPCS code 70491 was billed by 1K providers across 440K claims, totaling $56.7M in Medicaid payments from 2018–2024. This code was used for 410K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$98.20

Providers Billing

1K

National Spending

$56.7M

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 70491

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.7M
2Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$849K
3Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$839K
4Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$694K
5Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$642K
6Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$619K
7The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$587K
8Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$549K
9Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$545K
10Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$527K
11University Hospital

Newark, NJ · General Acute Care Hospital

$517K
12Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$505K
131740283324$504K
14Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$462K
15Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$437K
16Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$419K
17Dignity Health

Phoenix, AZ · Rehabilitation Unit

$417K
18Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$403K
19Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$400K
201952476665$389K

Showing top 20 of 1K providers billing this code