0470
HCPCS Procedure Code
HCPCS code 0470 is the #9,064 most-billed Medicaid procedure code, with $465 in payments across 3,310 claims from 2018–2024. The national median cost per claim is $0.70. Costs vary widely — the 90th percentile is $20.15 per claim, 28.8× the median.
Total Paid
$465
0.00% of all spending
Total Claims
3,310
Providers
9
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 0470? Based on 3 providers billing this code nationally.
Median
$0.70
Average
$8.60
Std Dev
$14.21
Max
$25.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.40 and $12.85 per claim for this code.
90% bill between $0.22 and $20.15.
Top 1% bill above $24.52.
About This Procedure
HCPCS code 0470 was billed by 9 providers across 3,310 claims, totaling $465 in Medicaid payments from 2018–2024. This code was used for 3,287 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.70
Providers Billing
3
National Spending
$465
Avg/Median Ratio
12.29×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0470
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1477587632 | $400 |
| 2 | 1114547114 | $56 |
| 3 | 1821250762 | $9 |
| 4 | 1740215219 | $0 |
| 5 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $0 |
| 6 | 1275578817 | $0 |
| 7 | 1326105909 | $0 |
| 8 | 1134286727 | $0 |
| 9 | 1114084894 | $0 |
Showing top 9 of 9 providers billing this code