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#6276 of 11K

G0247

HCPCS Procedure Code

HCPCS code G0247 is the #6,276 most-billed Medicaid procedure code, with $79K in payments across 11K claims from 2018–2024. The national median cost per claim is $6.26. Costs vary widely — the 90th percentile is $42.33 per claim, 6.8× the median.

Total Paid

$79K

0.00% of all spending

Total Claims

11K

Providers

46

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for G0247? Based on 23 providers billing this code nationally.

Median

$6.26

Average

$12.82

Std Dev

$16.69

Max

$55.39

Percentile Distribution (Cost per Claim)

p10
$1.33
p25
$2.69
Median
$6.26
p75
$13.88
p90
$42.33
p95
$46.94
p99
$53.64

50% of providers bill between $2.69 and $13.88 per claim for this code.

90% bill between $1.33 and $42.33.

Top 1% bill above $53.64.

About This Procedure

HCPCS code G0247 was billed by 46 providers across 11K claims, totaling $79K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.26

Providers Billing

23

National Spending

$79K

Avg/Median Ratio

2.05×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0247

#ProviderTotal Paid
11841491354$20K
21346470465$15K
31366659849$11K
41255317046$11K
51407805088$7K
61629045778$4K
71356443337$3K
81942593231$3K
91871880682$2K
101457601601$940
111427467703$680
121568400208$553
131891746533$435
141235451873$431
151982604419$348
161679833131$313
171871822213$195
181629417324$171
191922238914$115
201538693536$82

Showing top 20 of 46 providers billing this code