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#4572 of 11K

G0136

HCPCS Procedure Code

HCPCS code G0136 is the #4,572 most-billed Medicaid procedure code, with $509K in payments across 73K claims from 2018–2024. The national median cost per claim is $6.33. Costs vary widely — the 90th percentile is $15.68 per claim, 2.5× the median.

Total Paid

$509K

0.00% of all spending

Total Claims

73K

Providers

347

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for G0136? Based on 233 providers billing this code nationally.

Median

$6.33

Average

$7.45

Std Dev

$7.38

Max

$51.30

Percentile Distribution (Cost per Claim)

p10
$0.15
p25
$1.55
Median
$6.33
p75
$11.56
p90
$15.68
p95
$19.39
p99
$34.37

50% of providers bill between $1.55 and $11.56 per claim for this code.

90% bill between $0.15 and $15.68.

Top 1% bill above $34.37.

About This Procedure

HCPCS code G0136 was billed by 347 providers across 73K claims, totaling $509K in Medicaid payments from 2018–2024. This code was used for 68K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.33

Providers Billing

233

National Spending

$509K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0136

#ProviderTotal Paid
11639179328$39K
21063507747$36K
31669708756$34K
41942687751$30K
51417983024$28K
61386934172$21K
71457761199$19K
81255487138$19K
91023435856$17K
101730356080$12K
111871648444$11K
121831425917$11K
131346486594$11K
141598341513$10K
151184904302$10K
161790826287$9K
171124162854$9K
181982960464$9K
191841784733$9K
201619944550$8K

Showing top 20 of 347 providers billing this code