D0470
HCPCS Procedure Code
HCPCS code D0470 is the #1,349 most-billed Medicaid procedure code, with $26.1M in payments across 743K claims from 2018–2024. The national median cost per claim is $34.50.
Total Paid
$26.1M
0.00% of all spending
Total Claims
743K
Providers
1K
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for D0470? Based on 943 providers billing this code nationally.
Median
$34.50
Average
$38.69
Std Dev
$20.75
Max
$215.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.93 and $46.47 per claim for this code.
90% bill between $20.15 and $67.10.
Top 1% bill above $95.64.
About This Procedure
HCPCS code D0470 was billed by 1K providers across 743K claims, totaling $26.1M in Medicaid payments from 2018–2024. This code was used for 699K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.50
Providers Billing
943
National Spending
$26.1M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0470
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1356854442 | $625K |
| 2 | 1417175696 | $611K |
| 3 | 1356498778 | $465K |
| 4 | 1053637769 | $328K |
| 5 | 1487683330 | $322K |
| 6 | 1124261391 | $313K |
| 7 | 1942775390 | $310K |
| 8 | 1902815244 | $271K |
| 9 | 1962785923 | $269K |
| 10 | 1477874915 | $261K |
| 11 | 1508182312 | $258K |
| 12 | 1669993812 | $237K |
| 13 | 1033566039 | $235K |
| 14 | 1851325062 | $234K |
| 15 | 1861867947 | $224K |
| 16 | 1801212303 | $223K |
| 17 | 1952651192 | $221K |
| 18 | 1568795847 | $208K |
| 19 | 1245249598 | $204K |
| 20 | 1972744548 | $204K |
Showing top 20 of 1K providers billing this code