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#3918 of 11K

G0471

HCPCS Procedure Code

HCPCS code G0471 is the #3,918 most-billed Medicaid procedure code, with $1.0M in payments across 5.6M claims from 2018–2024. The national median cost per claim is $0.23. Costs vary widely — the 90th percentile is $4.21 per claim, 18.3× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

5.6M

Providers

203

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G0471? Based on 134 providers billing this code nationally.

Median

$0.23

Average

$1.09

Std Dev

$2.08

Max

$15.36

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.03
Median
$0.23
p75
$0.90
p90
$4.21
p95
$4.99
p99
$7.18

50% of providers bill between $0.03 and $0.90 per claim for this code.

90% bill between $0.00 and $4.21.

Top 1% bill above $7.18.

About This Procedure

HCPCS code G0471 was billed by 203 providers across 5.6M claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.23

Providers Billing

134

National Spending

$1.0M

Avg/Median Ratio

4.74×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0471

#ProviderTotal Paid
1Centers Lab Nj Llc

Cedar Knolls, NJ · Clinical Medical Laboratory

$102K
21659373900$95K
31659322360$93K
41073859930$92K
51780001859$86K
61093756157$78K
71003904673$50K
81326097833$42K
91861404121$39K
101750364345$39K
11Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$37K
12Lifescan Labs Of Illinois Llc

Skokie, IL · Clinical Medical Laboratory

$28K
131841724895$22K
141447345830$21K
151053382697$19K
161558609008$13K
171609963834$12K
18York Hospital

York, PA · Clinic/Center, Ambulatory Surgical

$10K
191598106163$9K
201952639577$9K

Showing top 20 of 203 providers billing this code