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#3873 of 11K

G0268

HCPCS Procedure Code

HCPCS code G0268 is the #3,873 most-billed Medicaid procedure code, with $1.1M in payments across 45K claims from 2018–2024. The national median cost per claim is $16.23. Costs vary widely — the 90th percentile is $43.94 per claim, 2.7× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

45K

Providers

132

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for G0268? Based on 116 providers billing this code nationally.

Median

$16.23

Average

$20.71

Std Dev

$17.37

Max

$91.36

Percentile Distribution (Cost per Claim)

p10
$1.80
p25
$6.43
Median
$16.23
p75
$33.13
p90
$43.94
p95
$49.40
p99
$63.09

50% of providers bill between $6.43 and $33.13 per claim for this code.

90% bill between $1.80 and $43.94.

Top 1% bill above $63.09.

About This Procedure

HCPCS code G0268 was billed by 132 providers across 45K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.23

Providers Billing

116

National Spending

$1.1M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0268

#ProviderTotal Paid
11376598326$390K
21205851011$123K
31811555014$71K
41366570244$67K
51679609465$44K
61841484235$42K
71124079769$25K
8Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$23K
9Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$23K
101407267586$22K
111063557726$22K
121265548168$20K
131548423122$17K
141427093046$11K
15New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$9K
161336319656$8K
171982643003$7K
181336126820$6K
191689806580$5K
201548228232$5K

Showing top 20 of 132 providers billing this code