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#4274 of 11K

47000

HCPCS Procedure Code

HCPCS code 47000 is the #4,274 most-billed Medicaid procedure code, with $699K in payments across 2,385 claims from 2018–2024. The national median cost per claim is $183.17. Costs vary widely — the 90th percentile is $898.50 per claim, 4.9× the median.

Total Paid

$699K

0.00% of all spending

Total Claims

2,385

Providers

26

Avg Cost/Claim

$293

National Cost Distribution

How much do providers bill per claim for 47000? Based on 26 providers billing this code nationally.

Median

$183.17

Average

$349.53

Std Dev

$351.93

Max

$1,000.99

Percentile Distribution (Cost per Claim)

p10
$45.37
p25
$55.45
Median
$183.17
p75
$674.68
p90
$898.50
p95
$961.81
p99
$995.52

50% of providers bill between $55.45 and $674.68 per claim for this code.

90% bill between $45.37 and $898.50.

Top 1% bill above $995.52.

About This Procedure

HCPCS code 47000 was billed by 26 providers across 2,385 claims, totaling $699K in Medicaid payments from 2018–2024. This code was used for 2,221 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$183.17

Providers Billing

26

National Spending

$699K

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 47000

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$306K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$59K
3Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$53K
41790811222$50K
51740283324$37K
6The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$34K
7Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$27K
81598153520$21K
9Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$20K
101851448674$14K
11Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$13K
12Vanderbilt University Medical Center

Nashville, TN · Psychiatric Unit

$13K
13The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$10K
141558365890$9K
15The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$8K
16Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$5K
171871528026$5K
181336192665$5K
191598860272$3K
201871633099$2K

Showing top 20 of 26 providers billing this code

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