G0407
HCPCS Procedure Code
HCPCS code G0407 is the #3,953 most-billed Medicaid procedure code, with $982K in payments across 88K claims from 2018–2024. The national median cost per claim is $8.73. Costs vary widely — the 90th percentile is $54.60 per claim, 6.3× the median.
Total Paid
$982K
0.00% of all spending
Total Claims
88K
Providers
145
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for G0407? Based on 126 providers billing this code nationally.
Median
$8.73
Average
$17.66
Std Dev
$20.79
Max
$73.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.12 and $22.98 per claim for this code.
90% bill between $1.08 and $54.60.
Top 1% bill above $72.94.
About This Procedure
HCPCS code G0407 was billed by 145 providers across 88K claims, totaling $982K in Medicaid payments from 2018–2024. This code was used for 47K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.73
Providers Billing
126
National Spending
$982K
Avg/Median Ratio
2.02×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0407
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225297807 | $181K |
| 2 | 1770763070 | $178K |
| 3 | 1982799086 | $136K |
| 4 | 1518412121 | $56K |
| 5 | 1114479730 | $56K |
| 6 | 1851890321 | $53K |
| 7 | 1073641254 | $48K |
| 8 | 1619285442 | $30K |
| 9 | 1629428974 | $21K |
| 10 | 1952740359 | $21K |
| 11 | 1083036651 | $17K |
| 12 | 1588152649 | $10K |
| 13 | 1588741292 | $10K |
| 14 | 1992215446 | $10K |
| 15 | 1174035612 | $9K |
| 16 | 1417132614 | $8K |
| 17 | 1033160825 | $7K |
| 18 | 1629639729 | $7K |
| 19 | 1245266733 | $7K |
| 20 | 1235631888 | $5K |
Showing top 20 of 145 providers billing this code