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#7421 of 11K

47001

HCPCS Procedure Code

HCPCS code 47001 is the #7,421 most-billed Medicaid procedure code, with $18K in payments across 265 claims from 2018–2024. The national median cost per claim is $71.78.

Total Paid

$18K

0.00% of all spending

Total Claims

265

Providers

4

Avg Cost/Claim

$69

National Cost Distribution

How much do providers bill per claim for 47001? Based on 4 providers billing this code nationally.

Median

$71.78

Average

$70.83

Std Dev

$11.69

Max

$84.09

Percentile Distribution (Cost per Claim)

p10
$60.18
p25
$66.94
Median
$71.78
p75
$75.67
p90
$80.72
p95
$82.40
p99
$83.75

50% of providers bill between $66.94 and $75.67 per claim for this code.

90% bill between $60.18 and $80.72.

Top 1% bill above $83.75.

About This Procedure

HCPCS code 47001 was billed by 4 providers across 265 claims, totaling $18K in Medicaid payments from 2018–2024. This code was used for 221 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$71.78

Providers Billing

4

National Spending

$18K

Avg/Median Ratio

0.99×

Normal distribution

Provider Coverage

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

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