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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Centers Lab Nj Llc Cedar Knolls, NJ · Clinical Medical Laboratory | $102K |
| 2 | 1659373900 | $95K |
| 3 | 1659322360 | $93K |
| 4 | 1073859930 | $92K |
| 5 | 1780001859 | $86K |
| 6 | 1093756157 | $78K |
| 7 | 1003904673 | $50K |
| 8 | 1326097833 | $42K |
| 9 | 1861404121 | $39K |
| 10 | 1750364345 | $39K |
| 11 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $37K |
| 12 | Lifescan Labs Of Illinois Llc Skokie, IL · Clinical Medical Laboratory | $28K |
| 13 | 1841724895 | $22K |
| 14 | 1447345830 | $21K |
| 15 | 1053382697 | $19K |
| 16 | 1558609008 | $13K |
| 17 | 1609963834 | $12K |
| 18 | York Hospital York, PA · Clinic/Center, Ambulatory Surgical | $10K |
| 19 | 1598106163 | $9K |
| 20 | 1952639577 | $9K |
Showing top 20 of 203 providers billing this code