Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8854 of 11K

72046

HCPCS Procedure Code

HCPCS code 72046 is the #8,854 most-billed Medicaid procedure code, with $972 in payments across 67 claims from 2018–2024. The national median cost per claim is $18.55.

Total Paid

$972

0.00% of all spending

Total Claims

67

Providers

3

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 72046? Based on 2 providers billing this code nationally.

Median

$18.55

Average

$18.55

Std Dev

$0.71

Max

$19.05

Percentile Distribution (Cost per Claim)

p10
$18.15
p25
$18.30
Median
$18.55
p75
$18.80
p90
$18.95
p95
$19.00
p99
$19.04

50% of providers bill between $18.30 and $18.80 per claim for this code.

90% bill between $18.15 and $18.95.

Top 1% bill above $19.04.

About This Procedure

HCPCS code 72046 was billed by 3 providers across 67 claims, totaling $972 in Medicaid payments from 2018–2024. This code was used for 67 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.55

Providers Billing

2

National Spending

$972

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.