G0472
HCPCS Procedure Code
HCPCS code G0472 is the #2,597 most-billed Medicaid procedure code, with $4.7M in payments across 332K claims from 2018–2024. The national median cost per claim is $14.24. Costs vary widely — the 90th percentile is $34.62 per claim, 2.4× the median.
Total Paid
$4.7M
0.00% of all spending
Total Claims
332K
Providers
288
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for G0472? Based on 228 providers billing this code nationally.
Median
$14.24
Average
$15.41
Std Dev
$14.00
Max
$71.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.12 and $25.33 per claim for this code.
90% bill between $0.33 and $34.62.
Top 1% bill above $46.53.
About This Procedure
HCPCS code G0472 was billed by 288 providers across 332K claims, totaling $4.7M in Medicaid payments from 2018–2024. This code was used for 315K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.24
Providers Billing
228
National Spending
$4.7M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0472
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $566K |
| 2 | 1780658443 | $312K |
| 3 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $235K |
| 4 | Bethesda Hospital Inc Cincinnati, OH · General Acute Care Hospital | $212K |
| 5 | 1083249577 | $193K |
| 6 | 1639111057 | $168K |
| 7 | 1790706901 | $134K |
| 8 | 1417901091 | $121K |
| 9 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $95K |
| 10 | 1649299827 | $94K |
| 11 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $87K |
| 12 | 1073587937 | $87K |
| 13 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $87K |
| 14 | 1063836963 | $85K |
| 15 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $81K |
| 16 | 1932695525 | $80K |
| 17 | 1831132133 | $79K |
| 18 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $76K |
| 19 | 1568446755 | $75K |
| 20 | 1952307852 | $73K |
Showing top 20 of 288 providers billing this code