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#7009 of 11K

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)

p10
$0.34
p25
$1.60
Median
$5.52
p75
$9.28
p90
$16.16
p95
$112.27
p99
$189.16

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

#ProviderTotal Paid
11598018806$16K
21578861613$10K
31174184709$2K
41255445300$1K
51356307581$969
61124417639$960
71003874801$765
81306969787$177
91417457714$80
101053645747$57
111508179490$13
121447226584$0
131568494151$0
141679660286$0
151104049378$0
16State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$0
171982811832$0
181528102787$0

Showing top 18 of 18 providers billing this code