72147
HCPCS Procedure Code
HCPCS code 72147 is the #4,097 most-billed Medicaid procedure code, with $852K in payments across 2K claims from 2018–2024. The national median cost per claim is $96.25. Costs vary widely — the 90th percentile is $798.86 per claim, 8.3× the median.
Total Paid
$852K
0.00% of all spending
Total Claims
2K
Providers
8
Avg Cost/Claim
$513
National Cost Distribution
How much do providers bill per claim for 72147? Based on 7 providers billing this code nationally.
Median
$96.25
Average
$288.43
Std Dev
$385.18
Max
$979.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.76 and $441.56 per claim for this code.
90% bill between $17.85 and $798.86.
Top 1% bill above $961.46.
About This Procedure
HCPCS code 72147 was billed by 8 providers across 2K claims, totaling $852K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$96.25
Providers Billing
7
National Spending
$852K
Avg/Median Ratio
3.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 72147
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $587K |
| 2 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $230K |
| 3 | 1669657318 | $18K |
| 4 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $8K |
| 5 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $6K |
| 6 | Children's Hospital Corporation Boston, MA · Clinic/Center | $2K |
| 7 | University Of Washington Seattle, WA · Clinic/Center, Dental | $491 |
| 8 | 1700861580 | $0 |
Showing top 8 of 8 providers billing this code