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

#4533 of 11K

G0010

HCPCS Procedure Code

HCPCS code G0010 is the #4,533 most-billed Medicaid procedure code, with $528K in payments across 54K claims from 2018–2024. The national median cost per claim is $6.83. Costs vary widely — the 90th percentile is $31.80 per claim, 4.7× the median.

Total Paid

$528K

0.00% of all spending

Total Claims

54K

Providers

313

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for G0010? Based on 115 providers billing this code nationally.

Median

$6.83

Average

$15.70

Std Dev

$38.69

Max

$335.70

Percentile Distribution (Cost per Claim)

p10
$0.17
p25
$0.72
Median
$6.83
p75
$15.34
p90
$31.80
p95
$43.61
p99
$192.64

50% of providers bill between $0.72 and $15.34 per claim for this code.

90% bill between $0.17 and $31.80.

Top 1% bill above $192.64.

About This Procedure

HCPCS code G0010 was billed by 313 providers across 54K claims, totaling $528K in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.83

Providers Billing

115

National Spending

$528K

Avg/Median Ratio

2.30×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0010

#ProviderTotal Paid
1Mainegeneral Medical Center

Augusta, ME · General Acute Care Hospital

$171K
2Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$77K
3Mount Sinai Hospital

New York, NY · Ambulance

$43K
4Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$34K
51245248939$29K
61659392819$28K
7Regents Of The University Of Michigan

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

$14K
8Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$13K
9University Of Kentucky

Lexington, KY · General Acute Care Hospital

$12K
10Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$9K
11Mercy Health - St Vincent Medical Center Llc

Toledo, OH · Ambulance, Land Transport

$7K
121447212592$7K
131316315955$5K
14Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$5K
15Mainehealth

Portland, ME · Emergency Medicine

$5K
16St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$5K
171790897551$4K
181386010130$4K
19Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$4K
201316127921$3K

Showing top 20 of 313 providers billing this code