Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6103 of 11K

G0317

HCPCS Procedure Code

HCPCS code G0317 is the #6,103 most-billed Medicaid procedure code, with $95K in payments across 25K claims from 2018–2024. The national median cost per claim is $3.67. Costs vary widely — the 90th percentile is $15.27 per claim, 4.2× the median.

Total Paid

$95K

0.00% of all spending

Total Claims

25K

Providers

114

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for G0317? Based on 88 providers billing this code nationally.

Median

$3.67

Average

$6.19

Std Dev

$7.91

Max

$41.52

Percentile Distribution (Cost per Claim)

p10
$0.29
p25
$1.16
Median
$3.67
p75
$7.01
p90
$15.27
p95
$22.11
p99
$35.75

50% of providers bill between $1.16 and $7.01 per claim for this code.

90% bill between $0.29 and $15.27.

Top 1% bill above $35.75.

About This Procedure

HCPCS code G0317 was billed by 114 providers across 25K claims, totaling $95K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.67

Providers Billing

88

National Spending

$95K

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G0317

#ProviderTotal Paid
11548765258$21K
21992215446$9K
31346331725$6K
41508288531$6K
51871069799$5K
61730713025$5K
71124693924$4K
81093967861$3K
91093741464$3K
101902149776$3K
111205466265$3K
121023041159$2K
131821582297$2K
141730773714$2K
151477027381$2K
161013562024$2K
171447888797$1K
181811641145$1K
191043928724$1K
201033861349$903

Showing top 20 of 114 providers billing this code