G0103
HCPCS Procedure Code
HCPCS code G0103 is the #2,516 most-billed Medicaid procedure code, with $5.2M in payments across 836K claims from 2018–2024. The national median cost per claim is $7.67. Costs vary widely — the 90th percentile is $15.48 per claim, 2.0× the median.
Total Paid
$5.2M
0.00% of all spending
Total Claims
836K
Providers
795
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for G0103? Based on 662 providers billing this code nationally.
Median
$7.67
Average
$8.45
Std Dev
$11.34
Max
$206.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.03 and $11.31 per claim for this code.
90% bill between $0.34 and $15.48.
Top 1% bill above $43.72.
About This Procedure
HCPCS code G0103 was billed by 795 providers across 836K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 762K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.67
Providers Billing
662
National Spending
$5.2M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0103
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $257K |
| 2 | Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital | $244K |
| 3 | 1073587937 | $220K |
| 4 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $207K |
| 5 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $144K |
| 6 | University Of Rochester Rochester, NY · General Acute Care Hospital | $118K |
| 7 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $99K |
| 8 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $86K |
| 9 | Rochester General Hospital-lab Rochester, NY · Clinical Medical Laboratory | $84K |
| 10 | 1972625499 | $82K |
| 11 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $82K |
| 12 | 1245382753 | $70K |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $67K |
| 14 | 1861404121 | $66K |
| 15 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $63K |
| 16 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $58K |
| 17 | 1861763658 | $57K |
| 18 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $57K |
| 19 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $53K |
| 20 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $52K |
Showing top 20 of 795 providers billing this code