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#3293 of 11K

G0105

HCPCS Procedure Code

HCPCS code G0105 is the #3,293 most-billed Medicaid procedure code, with $2.0M in payments across 8K claims from 2018–2024. The national median cost per claim is $207.30. Costs vary widely — the 90th percentile is $709.27 per claim, 3.4× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

8K

Providers

73

Avg Cost/Claim

$266

National Cost Distribution

How much do providers bill per claim for G0105? Based on 69 providers billing this code nationally.

Median

$207.30

Average

$327.78

Std Dev

$365.09

Max

$2,073.49

Percentile Distribution (Cost per Claim)

p10
$13.22
p25
$92.06
Median
$207.30
p75
$455.02
p90
$709.27
p95
$997.48
p99
$1,617.56

50% of providers bill between $92.06 and $455.02 per claim for this code.

90% bill between $13.22 and $709.27.

Top 1% bill above $1,617.56.

About This Procedure

HCPCS code G0105 was billed by 73 providers across 8K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$207.30

Providers Billing

69

National Spending

$2.0M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G0105

#ProviderTotal Paid
1The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$371K
2The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$237K
3Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$202K
4Hartford Hospital

Hartford, CT · General Acute Care Hospital

$156K
51558392563$129K
6Temple University Hospital Inc

Philadelphia, PA · General Acute Care Hospital

$81K
7Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$68K
8Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$58K
91962952655$54K
101548274475$50K
111588938682$45K
12Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$40K
13Regents Of The University Of Michigan

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

$34K
141417944778$34K
15Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$31K
16North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$29K
171033227111$27K
18Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$27K
19The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$25K
201003981093$23K

Showing top 20 of 73 providers billing this code