G0473
HCPCS Procedure Code
HCPCS code G0473 is the #7,009 most-billed Medicaid procedure code, with $32K in payments across 6,825 claims from 2018–2024. The national median cost per claim is $5.52. Costs vary widely — the 90th percentile is $16.16 per claim, 2.9× the median.
Total Paid
$32K
0.00% of all spending
Total Claims
6,825
Providers
18
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for G0473? Based on 11 providers billing this code nationally.
Median
$5.52
Average
$24.20
Std Dev
$61.28
Max
$208.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.60 and $9.28 per claim for this code.
90% bill between $0.34 and $16.16.
Top 1% bill above $189.16.
About This Procedure
HCPCS code G0473 was billed by 18 providers across 6,825 claims, totaling $32K in Medicaid payments from 2018–2024. This code was used for 5,266 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.52
Providers Billing
11
National Spending
$32K
Avg/Median Ratio
4.38×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0473
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598018806 | $16K |
| 2 | 1578861613 | $10K |
| 3 | 1174184709 | $2K |
| 4 | 1255445300 | $1K |
| 5 | 1356307581 | $969 |
| 6 | 1124417639 | $960 |
| 7 | 1003874801 | $765 |
| 8 | 1306969787 | $177 |
| 9 | 1417457714 | $80 |
| 10 | 1053645747 | $57 |
| 11 | 1508179490 | $13 |
| 12 | 1447226584 | $0 |
| 13 | 1568494151 | $0 |
| 14 | 1679660286 | $0 |
| 15 | 1104049378 | $0 |
| 16 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $0 |
| 17 | 1982811832 | $0 |
| 18 | 1528102787 | $0 |
Showing top 18 of 18 providers billing this code