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#5613 of 11K

G0239

HCPCS Procedure Code

HCPCS code G0239 is the #5,613 most-billed Medicaid procedure code, with $167K in payments across 8K claims from 2018–2024. The national median cost per claim is $14.26. Costs vary widely — the 90th percentile is $30.29 per claim, 2.1× the median.

Total Paid

$167K

0.00% of all spending

Total Claims

8K

Providers

13

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for G0239? Based on 13 providers billing this code nationally.

Median

$14.26

Average

$15.73

Std Dev

$9.57

Max

$32.05

Percentile Distribution (Cost per Claim)

p10
$5.60
p25
$7.70
Median
$14.26
p75
$20.21
p90
$30.29
p95
$31.66
p99
$31.97

50% of providers bill between $7.70 and $20.21 per claim for this code.

90% bill between $5.60 and $30.29.

Top 1% bill above $31.97.

About This Procedure

HCPCS code G0239 was billed by 13 providers across 8K claims, totaling $167K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.26

Providers Billing

13

National Spending

$167K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0239

#ProviderTotal Paid
1Summa Health System

Akron, OH · General Acute Care Hospital

$71K
2Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$40K
3University Of Colorado Hospital Authority

Aurora, CO · General Acute Care Hospital

$21K
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$12K
5Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$9K
6University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$5K
71326043548$4K
81689714255$2K
91619969219$2K
10The Miriam Hospital

Providence, RI · General Acute Care Hospital

$1K
111427030774$823
121245207521$531
131043218944$293

Showing top 13 of 13 providers billing this code