0471
HCPCS Procedure Code
HCPCS code 0471 is the #4,910 most-billed Medicaid procedure code, with $357K in payments across 9,410 claims from 2018–2024. The national median cost per claim is $11.58. Costs vary widely — the 90th percentile is $97.49 per claim, 8.4× the median.
Total Paid
$357K
0.00% of all spending
Total Claims
9,410
Providers
14
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for 0471? Based on 6 providers billing this code nationally.
Median
$11.58
Average
$36.66
Std Dev
$47.75
Max
$98.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.81 and $77.34 per claim for this code.
90% bill between $0.91 and $97.49.
Top 1% bill above $98.76.
About This Procedure
HCPCS code 0471 was billed by 14 providers across 9,410 claims, totaling $357K in Medicaid payments from 2018–2024. This code was used for 7,330 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.58
Providers Billing
6
National Spending
$357K
Avg/Median Ratio
3.17×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0471
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902803315 | $351K |
| 2 | 1578529285 | $2K |
| 3 | 1477596583 | $2K |
| 4 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $1K |
| 5 | 1487697215 | $456 |
| 6 | 1336328244 | $43 |
| 7 | North East Medical Services San Francisco, CA · Case Manager/Care Coordinator | $0 |
| 8 | 1518940667 | $0 |
| 9 | 1982629440 | $0 |
| 10 | 1760510937 | $0 |
| 11 | 1477502797 | $0 |
| 12 | 1124173059 | $0 |
| 13 | 1992779417 | $0 |
| 14 | 1932197258 | $0 |
Showing top 14 of 14 providers billing this code