Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4014 of 11K

70547

HCPCS Procedure Code

HCPCS code 70547 is the #4,014 most-billed Medicaid procedure code, with $933K in payments across 11K claims from 2018–2024. The national median cost per claim is $40.61. Costs vary widely — the 90th percentile is $227.99 per claim, 5.6× the median.

Total Paid

$933K

0.00% of all spending

Total Claims

11K

Providers

67

Avg Cost/Claim

$84

National Cost Distribution

How much do providers bill per claim for 70547? Based on 65 providers billing this code nationally.

Median

$40.61

Average

$92.28

Std Dev

$96.81

Max

$510.74

Percentile Distribution (Cost per Claim)

p10
$12.62
p25
$23.48
Median
$40.61
p75
$149.26
p90
$227.99
p95
$246.26
p99
$351.23

50% of providers bill between $23.48 and $149.26 per claim for this code.

90% bill between $12.62 and $227.99.

Top 1% bill above $351.23.

About This Procedure

HCPCS code 70547 was billed by 67 providers across 11K claims, totaling $933K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.61

Providers Billing

65

National Spending

$933K

Avg/Median Ratio

2.27×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 70547

#ProviderTotal Paid
1Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$239K
21972004489$147K
31447206495$96K
4Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$84K
5Kaiser Foundation Hospitals

Sacramento, CA · General Acute Care Hospital

$58K
6Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$34K
71659330173$30K
81356496772$25K
91134194038$19K
101669499414$16K
111508942681$15K
12The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$14K
131114367497$14K
141124435607$12K
15Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$11K
161780667923$10K
17Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$9K
18Montefiore Medical Center

Bronx, NY · Anesthesiology

$9K
191902865355$6K
201427616002$6K

Showing top 20 of 67 providers billing this code