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

#6399 of 11K

01470

HCPCS Procedure Code

HCPCS code 01470 is the #6,399 most-billed Medicaid procedure code, with $69K in payments across 1,208 claims from 2018–2024. The national median cost per claim is $55.41. Costs vary widely — the 90th percentile is $124.48 per claim, 2.2× the median.

Total Paid

$69K

0.00% of all spending

Total Claims

1,208

Providers

18

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 01470? Based on 15 providers billing this code nationally.

Median

$55.41

Average

$77.30

Std Dev

$61.72

Max

$270.23

Percentile Distribution (Cost per Claim)

p10
$30.94
p25
$47.05
Median
$55.41
p75
$89.99
p90
$124.48
p95
$175.40
p99
$251.27

50% of providers bill between $47.05 and $89.99 per claim for this code.

90% bill between $30.94 and $124.48.

Top 1% bill above $251.27.

About This Procedure

HCPCS code 01470 was billed by 18 providers across 1,208 claims, totaling $69K in Medicaid payments from 2018–2024. This code was used for 845 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.41

Providers Billing

15

National Spending

$69K

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01470

#ProviderTotal Paid
11225016926$23K
21972126209$9K
31497797153$6K
41558391763$5K
51053366377$4K
61487609475$4K
71871986372$3K
81669581997$3K
91093767766$3K
101417994872$2K
111558314427$2K
12William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$2K
131285053561$2K
141528578333$520
15The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$435
161134668353$0
17The Nemours Foundation

Orlando, FL · General Acute Care Hospital Children

$0
18Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$0

Showing top 18 of 18 providers billing this code