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#2720 of 11K

G0123

HCPCS Procedure Code

HCPCS code G0123 is the #2,720 most-billed Medicaid procedure code, with $4.0M in payments across 344K claims from 2018–2024. The national median cost per claim is $11.37.

Total Paid

$4.0M

0.00% of all spending

Total Claims

344K

Providers

312

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for G0123? Based on 235 providers billing this code nationally.

Median

$11.37

Average

$12.00

Std Dev

$12.59

Max

$137.43

Percentile Distribution (Cost per Claim)

p10
$0.51
p25
$3.69
Median
$11.37
p75
$16.50
p90
$20.90
p95
$25.56
p99
$59.05

50% of providers bill between $3.69 and $16.50 per claim for this code.

90% bill between $0.51 and $20.90.

Top 1% bill above $59.05.

About This Procedure

HCPCS code G0123 was billed by 312 providers across 344K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 329K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.37

Providers Billing

235

National Spending

$4.0M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0123

#ProviderTotal Paid
1Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$351K
2Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$172K
3Mount Sinai Hospital

New York, NY · Ambulance

$168K
4Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$160K
5Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$130K
6Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$120K
71649246877$111K
8San Juan Regional Medical Center, Inc.

Farmington, NM · Audiologist

$98K
91215048913$97K
10Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$95K
111760454334$93K
121730264128$83K
131629027578$77K
141427360700$76K
15Rochester General Hospital

Rochester, NY · Dentist, General Practice

$74K
16Holzer Hospital Foundation

Gallipolis, OH · General Acute Care Hospital Rural

$65K
171083249577$65K
181134194038$61K
191760794044$61K
20Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$56K

Showing top 20 of 312 providers billing this code