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#2972 of 11K

G0009

HCPCS Procedure Code

HCPCS code G0009 is the #2,972 most-billed Medicaid procedure code, with $2.9M in payments across 357K claims from 2018–2024. The national median cost per claim is $4.11. Costs vary widely — the 90th percentile is $20.40 per claim, 5.0× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

357K

Providers

2K

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for G0009? Based on 501 providers billing this code nationally.

Median

$4.11

Average

$12.01

Std Dev

$34.26

Max

$338.34

Percentile Distribution (Cost per Claim)

p10
$0.23
p25
$0.92
Median
$4.11
p75
$10.30
p90
$20.40
p95
$32.33
p99
$217.31

50% of providers bill between $0.92 and $10.30 per claim for this code.

90% bill between $0.23 and $20.40.

Top 1% bill above $217.31.

About This Procedure

HCPCS code G0009 was billed by 2K providers across 357K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 337K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.11

Providers Billing

501

National Spending

$2.9M

Avg/Median Ratio

2.92×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0009

#ProviderTotal Paid
1Mainegeneral Medical Center

Augusta, ME · General Acute Care Hospital

$341K
2Mainehealth

Portland, ME · Emergency Medicine

$255K
3Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$251K
41659392819$214K
51629382601$139K
6Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$81K
71467487637$76K
8Mount Sinai Hospital

New York, NY · Ambulance

$72K
9Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$68K
101245248939$63K
111568555498$59K
121932164795$57K
13Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$50K
141982645305$50K
15University Of Washington

Seattle, WA · Clinic/Center, Dental

$48K
16Reading Hospital

West Reading, PA · Surgery

$48K
171497068969$48K
18Sage River Counseling

Seattle, WA · Counselor Mental Health

$39K
19Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$32K
20Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$32K

Showing top 20 of 2K providers billing this code