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

#3288 of 11K

G0071

HCPCS Procedure Code

HCPCS code G0071 is the #3,288 most-billed Medicaid procedure code, with $2.0M in payments across 265K claims from 2018–2024. The national median cost per claim is $7.20. Costs vary widely — the 90th percentile is $24.76 per claim, 3.4× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

265K

Providers

736

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for G0071? Based on 566 providers billing this code nationally.

Median

$7.20

Average

$13.43

Std Dev

$19.68

Max

$183.63

Percentile Distribution (Cost per Claim)

p10
$0.66
p25
$2.93
Median
$7.20
p75
$19.20
p90
$24.76
p95
$35.44
p99
$96.92

50% of providers bill between $2.93 and $19.20 per claim for this code.

90% bill between $0.66 and $24.76.

Top 1% bill above $96.92.

About This Procedure

HCPCS code G0071 was billed by 736 providers across 265K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 226K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.20

Providers Billing

566

National Spending

$2.0M

Avg/Median Ratio

1.87×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G0071

#ProviderTotal Paid
11548659105$89K
21124257324$78K
31508379017$74K
4Cornell Scott Hill Health Corporation

New Haven, CT · Psychiatry & Neurology, Child & Adolescent Psychiatry

$71K
51447391719$69K
61184792103$58K
71033184866$54K
81720401607$48K
9County Of Santa Clara

San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$44K
101952335630$42K
11County Of Santa Clara

San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$41K
121114978582$40K
131437122769$39K
14County Of Santa Clara

San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$25K
15County Of Santa Clara

San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$25K
16County Of Santa Clara

San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$24K
17Jwch Institute, Inc.

Los Angeles, CA · Case Manager/Care Coordinator

$24K
181407200264$24K
191093892275$22K
201467432765$21K

Showing top 20 of 736 providers billing this code