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#4459 of 11K

G0411

HCPCS Procedure Code

HCPCS code G0411 is the #4,459 most-billed Medicaid procedure code, with $578K in payments across 50K claims from 2018–2024. The national median cost per claim is $15.60. Costs vary widely — the 90th percentile is $134.43 per claim, 8.6× the median.

Total Paid

$578K

0.00% of all spending

Total Claims

50K

Providers

13

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for G0411? Based on 9 providers billing this code nationally.

Median

$15.60

Average

$60.15

Std Dev

$107.67

Max

$333.08

Percentile Distribution (Cost per Claim)

p10
$0.49
p25
$0.81
Median
$15.60
p75
$79.72
p90
$134.43
p95
$233.75
p99
$313.21

50% of providers bill between $0.81 and $79.72 per claim for this code.

90% bill between $0.49 and $134.43.

Top 1% bill above $313.21.

About This Procedure

HCPCS code G0411 was billed by 13 providers across 50K claims, totaling $578K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.60

Providers Billing

9

National Spending

$578K

Avg/Median Ratio

3.86×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0411

#ProviderTotal Paid
11003242942$309K
21508810573$152K
31083622120$61K
41194762294$47K
51942364062$4K
61265903835$3K
71174570683$2K
81932164795$102
91962453134$57
101578042610$0
111871501916$0
121881707552$0
131942562541$0

Showing top 13 of 13 providers billing this code