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#1899 of 11K

G0442

HCPCS Procedure Code

HCPCS code G0442 is the #1,899 most-billed Medicaid procedure code, with $12.0M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $4.91. Costs vary widely — the 90th percentile is $16.50 per claim, 3.4× the median.

Total Paid

$12.0M

0.00% of all spending

Total Claims

1.6M

Providers

2K

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for G0442? Based on 1K providers billing this code nationally.

Median

$4.91

Average

$7.27

Std Dev

$7.49

Max

$55.18

Percentile Distribution (Cost per Claim)

p10
$0.21
p25
$1.08
Median
$4.91
p75
$12.04
p90
$16.50
p95
$20.53
p99
$34.22

50% of providers bill between $1.08 and $12.04 per claim for this code.

90% bill between $0.21 and $16.50.

Top 1% bill above $34.22.

About This Procedure

HCPCS code G0442 was billed by 2K providers across 1.6M claims, totaling $12.0M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.91

Providers Billing

1K

National Spending

$12.0M

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0442

#ProviderTotal Paid
11568465466$454K
21689009854$321K
31396749941$266K
41538264080$217K
51689066029$213K
61619973518$212K
71083623409$198K
81033323746$186K
91730169756$185K
101003902610$182K
111972528032$165K
121770669715$159K
131619244688$152K
141629269618$147K
151225685332$133K
161881801835$127K
171932194230$122K
181750308656$115K
191790713394$113K
201366560393$110K

Showing top 20 of 2K providers billing this code