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

#3301 of 11K

G0446

HCPCS Procedure Code

HCPCS code G0446 is the #3,301 most-billed Medicaid procedure code, with $2.0M in payments across 269K claims from 2018–2024. The national median cost per claim is $4.40. Costs vary widely — the 90th percentile is $18.99 per claim, 4.3× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

269K

Providers

688

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for G0446? Based on 414 providers billing this code nationally.

Median

$4.40

Average

$7.46

Std Dev

$7.90

Max

$44.16

Percentile Distribution (Cost per Claim)

p10
$0.19
p25
$1.02
Median
$4.40
p75
$12.99
p90
$18.99
p95
$21.73
p99
$29.31

50% of providers bill between $1.02 and $12.99 per claim for this code.

90% bill between $0.19 and $18.99.

Top 1% bill above $29.31.

About This Procedure

HCPCS code G0446 was billed by 688 providers across 269K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 242K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.40

Providers Billing

414

National Spending

$2.0M

Avg/Median Ratio

1.70×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for G0446

#ProviderTotal Paid
11396749941$200K
21225685332$150K
31689066029$96K
41689009854$91K
51184766107$77K
6Mount Sinai Hospital

New York, NY · Ambulance

$67K
71841323771$46K
81649546144$40K
91841539657$39K
101477892941$37K
111609183540$36K
121891937157$32K
131649314766$31K
141699005900$31K
151255842613$31K
161275640609$30K
171881612828$28K
181750304978$28K
191770025066$26K
201225153356$25K

Showing top 20 of 688 providers billing this code