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#4402 of 11K

G0281

HCPCS Procedure Code

HCPCS code G0281 is the #4,402 most-billed Medicaid procedure code, with $611K in payments across 12K claims from 2018–2024. The national median cost per claim is $1.83. Costs vary widely — the 90th percentile is $79.74 per claim, 43.6× the median.

Total Paid

$611K

0.00% of all spending

Total Claims

12K

Providers

8

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for G0281? Based on 6 providers billing this code nationally.

Median

$1.83

Average

$27.47

Std Dev

$54.52

Max

$137.46

Percentile Distribution (Cost per Claim)

p10
$0.82
p25
$1.58
Median
$1.83
p75
$17.03
p90
$79.74
p95
$108.60
p99
$131.69

50% of providers bill between $1.58 and $17.03 per claim for this code.

90% bill between $0.82 and $79.74.

Top 1% bill above $131.69.

About This Procedure

HCPCS code G0281 was billed by 8 providers across 12K claims, totaling $611K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.83

Providers Billing

6

National Spending

$611K

Avg/Median Ratio

15.01×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0281

#ProviderTotal Paid
1Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$597K
21891798104$8K
31649324450$3K
41033497714$2K
51891801999$283
61528447679$230
71780976225$0
81548597016$0

Showing top 8 of 8 providers billing this code