0479T
HCPCS Procedure Code
HCPCS code 0479T is the #7,173 most-billed Medicaid procedure code, with $26K in payments across 475 claims from 2018–2024. The national median cost per claim is $106.13. Costs vary widely — the 90th percentile is $261.07 per claim, 2.5× the median.
Total Paid
$26K
0.00% of all spending
Total Claims
475
Providers
7
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for 0479T? Based on 5 providers billing this code nationally.
Median
$106.13
Average
$121.79
Std Dev
$142.08
Max
$361.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.27 and $110.75 per claim for this code.
90% bill between $12.62 and $261.07.
Top 1% bill above $351.26.
About This Procedure
HCPCS code 0479T was billed by 7 providers across 475 claims, totaling $26K in Medicaid payments from 2018–2024. This code was used for 395 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$106.13
Providers Billing
5
National Spending
$26K
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0479T
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013917665 | $11K |
| 2 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $10K |
| 3 | 1912951963 | $4K |
| 4 | 1710959457 | $1K |
| 5 | 1033163092 | $192 |
| 6 | 1235196510 | $0 |
| 7 | 1780669200 | $0 |
Showing top 7 of 7 providers billing this code