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#9064 of 11K

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)

p10
$0.22
p25
$0.40
Median
$0.70
p75
$12.85
p90
$20.15
p95
$22.58
p99
$24.52

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

#ProviderTotal Paid
11477587632$400
21114547114$56
31821250762$9
41740215219$0
5Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$0
61275578817$0
71326105909$0
81134286727$0
91114084894$0

Showing top 9 of 9 providers billing this code