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#5408 of 11K

1247Z

HCPCS Procedure Code

HCPCS code 1247Z is the #5,408 most-billed Medicaid procedure code, with $206K in payments across 4,041 claims from 2018–2024. The national median cost per claim is $52.57.

Total Paid

$206K

0.00% of all spending

Total Claims

4,041

Providers

4

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for 1247Z? Based on 4 providers billing this code nationally.

Median

$52.57

Average

$42.37

Std Dev

$21.01

Max

$53.47

Percentile Distribution (Cost per Claim)

p10
$23.14
p25
$41.53
Median
$52.57
p75
$53.41
p90
$53.44
p95
$53.46
p99
$53.47

50% of providers bill between $41.53 and $53.41 per claim for this code.

90% bill between $23.14 and $53.44.

Top 1% bill above $53.47.

About This Procedure

HCPCS code 1247Z was billed by 4 providers across 4,041 claims, totaling $206K in Medicaid payments from 2018–2024. This code was used for 2,028 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.57

Providers Billing

4

National Spending

$206K

Avg/Median Ratio

0.81×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.