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#6835 of 11K

G0250

HCPCS Procedure Code

HCPCS code G0250 is the #6,835 most-billed Medicaid procedure code, with $41K in payments across 17K claims from 2018–2024. The national median cost per claim is $2.10. Costs vary widely — the 90th percentile is $8.37 per claim, 4.0× the median.

Total Paid

$41K

0.00% of all spending

Total Claims

17K

Providers

19

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for G0250? Based on 17 providers billing this code nationally.

Median

$2.10

Average

$3.44

Std Dev

$3.10

Max

$9.50

Percentile Distribution (Cost per Claim)

p10
$0.74
p25
$0.98
Median
$2.10
p75
$4.85
p90
$8.37
p95
$8.92
p99
$9.38

50% of providers bill between $0.98 and $4.85 per claim for this code.

90% bill between $0.74 and $8.37.

Top 1% bill above $9.38.

About This Procedure

HCPCS code G0250 was billed by 19 providers across 17K claims, totaling $41K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.10

Providers Billing

17

National Spending

$41K

Avg/Median Ratio

1.64×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G0250

#ProviderTotal Paid
11508053182$16K
2Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$7K
31508957804$6K
41538103825$4K
51982689113$2K
61760445373$2K
71689653487$2K
81073553939$779
91952347981$517
101851650550$494
111073795811$162
121598784555$144
131528195864$114
141144265547$105
15Yale University

New Haven, CT · Internal Medicine

$79
161255387726$21
171760563266$11
181346403854$0
191396050142$0

Showing top 19 of 19 providers billing this code