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#6723 of 11K

D0473

HCPCS Procedure Code

HCPCS code D0473 is the #6,723 most-billed Medicaid procedure code, with $46K in payments across 1K claims from 2018–2024. The national median cost per claim is $55.57.

Total Paid

$46K

0.00% of all spending

Total Claims

1K

Providers

7

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for D0473? Based on 7 providers billing this code nationally.

Median

$55.57

Average

$48.24

Std Dev

$22.29

Max

$67.11

Percentile Distribution (Cost per Claim)

p10
$20.14
p25
$40.52
Median
$55.57
p75
$63.56
p90
$66.03
p95
$66.57
p99
$67.00

50% of providers bill between $40.52 and $63.56 per claim for this code.

90% bill between $20.14 and $66.03.

Top 1% bill above $67.00.

About This Procedure

HCPCS code D0473 was billed by 7 providers across 1K claims, totaling $46K in Medicaid payments from 2018–2024. This code was used for 844 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.57

Providers Billing

7

National Spending

$46K

Avg/Median Ratio

0.87×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0473

#ProviderTotal Paid
11306929385$24K
21831530641$8K
31740253509$7K
41720184773$5K
51427309897$989
61861413098$804
71770771974$185

Showing top 7 of 7 providers billing this code