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

#1239 of 11K

G0447

HCPCS Procedure Code

HCPCS code G0447 is the #1,239 most-billed Medicaid procedure code, with $31.8M in payments across 7.5M claims from 2018–2024. The national median cost per claim is $5.19. Costs vary widely — the 90th percentile is $21.17 per claim, 4.1× the median.

Total Paid

$31.8M

0.00% of all spending

Total Claims

7.5M

Providers

4K

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for G0447? Based on 3K providers billing this code nationally.

Median

$5.19

Average

$8.88

Std Dev

$12.05

Max

$192.20

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.36
Median
$5.19
p75
$14.98
p90
$21.17
p95
$24.78
p99
$39.20

50% of providers bill between $0.36 and $14.98 per claim for this code.

90% bill between $0.02 and $21.17.

Top 1% bill above $39.20.

About This Procedure

HCPCS code G0447 was billed by 4K providers across 7.5M claims, totaling $31.8M in Medicaid payments from 2018–2024. This code was used for 6.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.19

Providers Billing

3K

National Spending

$31.8M

Avg/Median Ratio

1.71×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G0447

#ProviderTotal Paid
11568576056$1.1M
21396749941$1.0M
31225685332$571K
41689066029$567K
51578861613$554K
61487045530$505K
71083815385$501K
81689729352$434K
91184666570$369K
101508977414$369K
111366697476$325K
121487655031$323K
131861756785$323K
141891096343$319K
151295902468$313K
161750308656$305K
171184016941$269K
181578753075$264K
191346493962$246K
201760626477$244K

Showing top 20 of 4K providers billing this code