P9046
HCPCS Procedure Code
HCPCS code P9046 is the #4,832 most-billed Medicaid procedure code, with $382K in payments across 4K claims from 2018–2024. The national median cost per claim is $27.81. Costs vary widely — the 90th percentile is $99.30 per claim, 3.6× the median.
Total Paid
$382K
0.00% of all spending
Total Claims
4K
Providers
7
Avg Cost/Claim
$87
National Cost Distribution
How much do providers bill per claim for P9046? Based on 7 providers billing this code nationally.
Median
$27.81
Average
$43.84
Std Dev
$39.80
Max
$108.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.84 and $60.97 per claim for this code.
90% bill between $12.89 and $99.30.
Top 1% bill above $107.56.
About This Procedure
HCPCS code P9046 was billed by 7 providers across 4K claims, totaling $382K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.81
Providers Billing
7
National Spending
$382K
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for P9046
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1528399193 | $314K |
| 2 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $52K |
| 3 | 1851397129 | $11K |
| 4 | 1205900370 | $3K |
| 5 | Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical | $1K |
| 6 | 1417947490 | $845 |
| 7 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $750 |
Showing top 7 of 7 providers billing this code