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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568465466 | $454K |
| 2 | 1689009854 | $321K |
| 3 | 1396749941 | $266K |
| 4 | 1538264080 | $217K |
| 5 | 1689066029 | $213K |
| 6 | 1619973518 | $212K |
| 7 | 1083623409 | $198K |
| 8 | 1033323746 | $186K |
| 9 | 1730169756 | $185K |
| 10 | 1003902610 | $182K |
| 11 | 1972528032 | $165K |
| 12 | 1770669715 | $159K |
| 13 | 1619244688 | $152K |
| 14 | 1629269618 | $147K |
| 15 | 1225685332 | $133K |
| 16 | 1881801835 | $127K |
| 17 | 1932194230 | $122K |
| 18 | 1750308656 | $115K |
| 19 | 1790713394 | $113K |
| 20 | 1366560393 | $110K |
Showing top 20 of 2K providers billing this code