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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.7M |
| 2 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $849K |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $839K |
| 4 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $694K |
| 5 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $642K |
| 6 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $619K |
| 7 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $587K |
| 8 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $549K |
| 9 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $545K |
| 10 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $527K |
| 11 | University Hospital Newark, NJ · General Acute Care Hospital | $517K |
| 12 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $505K |
| 13 | 1740283324 | $504K |
| 14 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $462K |
| 15 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $437K |
| 16 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $419K |
| 17 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $417K |
| 18 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $403K |
| 19 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $400K |
| 20 | 1952476665 | $389K |
Showing top 20 of 1K providers billing this code