#5178 of 11K

71047

HCPCS Procedure Code

HCPCS code 71047 is the #5,178 most-billed Medicaid procedure code, with $269K in payments across 19K claims from 2018–2024. The national median cost per claim is $9.62. Costs vary widely — the 90th percentile is $31.56 per claim, 3.3× the median.

Total Paid

$269K

0.00% of all spending

Total Claims

19K

Providers

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 71047? Based on 58 providers billing this code nationally.

Median

$9.62

Average

$15.92

Std Dev

$19.23

Max

$136.06

Percentile Distribution (Cost per Claim)

p10

$2.58

p25

$6.59

Median

$9.62

p75

$21.21

p90

$31.56

p95

$40.13

p99

$81.71

50% of providers bill between $6.59 and $21.21 per claim for this code.

90% bill between $2.58 and $31.56.

Top 1% bill above $81.71.

About This Procedure

HCPCS code 71047 was billed by 60 providers across 19K claims, totaling $269K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.62

Providers Billing

National Spending

$269K

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 71047

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1073597126	$94K	$23.13	2.4× median	Above 75th
2	1467504555	$28K	$24.88	2.6× median	Above 75th
3	1508879750	$24K	$9.53	1.0× median	Below Median
4	1982619771	$23K	$40.58	4.2× median	Top 10%
5	1790736551	$15K	$40.72	4.2× median	Top 10%
6	1275950016	$10K	$16.14	1.7× median	Above Median
7	1700865094	$10K	$2.80	0.3× median	Below Median
8	1033272349	$7K	$6.57	0.7× median	Below Median
9	1558314534	$6K	$7.98	0.8× median	Below Median
10	1053873307	$5K	$32.41	3.4× median	Top 10%
11	1821387051	$5K	$40.05	4.2× median	Top 10%
12	1740301985	$4K	$20.32	2.1× median	Above Median
13	1386091486	$4K	$31.20	3.2× median	Above 75th
14	1508297854	$4K	$27.94	2.9× median	Above 75th
15	1326029984	$4K	$136.06	14.1× median	Top 1%
16	1538166236	$3K	$8.09	0.8× median	Below Median
17	1013934025	$2K	$22.07	2.3× median	Above 75th
18	1417089962	$2K	$9.43	1.0× median	Below Median
19	1194122457	$2K	$6.65	0.7× median	Below Median
20	Southeastern Emergency Physicians Llc Maysville, KY · Emergency Medicine, Pediatric Emergency Medicine	$2K	$7.86	0.8× median	Below Median

Showing top 20 of 60 providers billing this code

Related Procedures

71046Chest X-ray, 2 views$922.5M 71045Chest X-ray, single view$916.8M 71048Chest X-ray, 4+ views$114K

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