#4706 of 11K

47379

HCPCS Procedure Code

HCPCS code 47379 is the #4,706 most-billed Medicaid procedure code, with $440K in payments across 2,879 claims from 2018–2024. The national median cost per claim is $86.78. Costs vary widely — the 90th percentile is $246.44 per claim, 2.8× the median.

Total Paid

$440K

0.00% of all spending

Total Claims

2,879

Providers

Avg Cost/Claim

$153

National Cost Distribution

How much do providers bill per claim for 47379? Based on 11 providers billing this code nationally.

Median

$86.78

Average

$128.47

Std Dev

$82.60

Max

$264.36

Percentile Distribution (Cost per Claim)

p10

$45.69

p25

$60.32

Median

$86.78

p75

$181.72

p90

$246.44

p95

$255.40

p99

$262.56

50% of providers bill between $60.32 and $181.72 per claim for this code.

90% bill between $45.69 and $246.44.

Top 1% bill above $262.56.

About This Procedure

HCPCS code 47379 was billed by 11 providers across 2,879 claims, totaling $440K in Medicaid payments from 2018–2024. This code was used for 2,432 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$86.78

Providers Billing

National Spending

$440K

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 47379

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1063588804	$158K	$246.44	2.8× median	Top 10%
2	1205142791	$101K	$179.71	2.1× median	Above Median
3	1629637475	$95K	$183.73	2.1× median	Above 75th
4	1952912420	$35K	$58.47	0.7× median	Below Median
5	1396862116	$26K	$264.36	3.0× median	Top 1%
6	1376056721	$12K	$36.93	0.4× median	Below Median
7	1699940270	$5K	$168.41	1.9× median	Above Median
8	1427009638	$3K	$80.55	0.9× median	Below Median
9	1952681918	$2K	$86.78	1.0× median	Below Median
10	1578545273	$808	$62.16	0.7× median	Below Median
11	Our Lady Of The Lake Physician Group Llc Baton Rouge, LA · Allergy & Immunology	$777	$45.69	0.5× median	Below Median

Showing top 11 of 11 providers billing this code

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