80047
HCPCS Procedure Code
HCPCS code 80047 is the #1,315 most-billed Medicaid procedure code, with $27.8M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $6.12. Costs vary widely — the 90th percentile is $25.72 per claim, 4.2× the median.
Total Paid
$27.8M
0.00% of all spending
Total Claims
2.8M
Providers
940
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 80047? Based on 865 providers billing this code nationally.
Median
$6.12
Average
$12.50
Std Dev
$24.50
Max
$255.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.16 and $11.62 per claim for this code.
90% bill between $0.48 and $25.72.
Top 1% bill above $137.39.
About This Procedure
HCPCS code 80047 was billed by 940 providers across 2.8M claims, totaling $27.8M in Medicaid payments from 2018–2024. This code was used for 2.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.12
Providers Billing
865
National Spending
$27.8M
Avg/Median Ratio
2.04×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 80047
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1104906569 | $2.5M |
| 2 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $2.1M |
| 3 | 1043240682 | $1.5M |
| 4 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $1.3M |
| 5 | 1497790042 | $995K |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $792K |
| 7 | 1134187842 | $744K |
| 8 | Uch-mhs Colorado Springs, CO · General Acute Care Hospital | $726K |
| 9 | 1184197683 | $550K |
| 10 | 1811036726 | $456K |
| 11 | 1992751879 | $425K |
| 12 | 1710463146 | $362K |
| 13 | 1053373480 | $357K |
| 14 | 1003981549 | $345K |
| 15 | The Good Samaritan Hospital Of Cincinnati, Ohio Cincinnati, OH · General Acute Care Hospital | $331K |
| 16 | 1598713745 | $306K |
| 17 | 1316925506 | $302K |
| 18 | 1407801640 | $288K |
| 19 | 1689603748 | $288K |
| 20 | 1316027709 | $286K |
Showing top 20 of 940 providers billing this code