G0475
HCPCS Procedure Code
HCPCS code G0475 is the #2,751 most-billed Medicaid procedure code, with $3.8M in payments across 385K claims from 2018–2024. The national median cost per claim is $11.30. Costs vary widely — the 90th percentile is $22.67 per claim, 2.0× the median.
Total Paid
$3.8M
0.00% of all spending
Total Claims
385K
Providers
244
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for G0475? Based on 200 providers billing this code nationally.
Median
$11.30
Average
$11.71
Std Dev
$9.61
Max
$54.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.01 and $18.23 per claim for this code.
90% bill between $0.42 and $22.67.
Top 1% bill above $40.86.
About This Procedure
HCPCS code G0475 was billed by 244 providers across 385K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 364K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.30
Providers Billing
200
National Spending
$3.8M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0475
| # | Provider | Total Paid |
|---|---|---|
| 1 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $386K |
| 2 | 1780658443 | $202K |
| 3 | 1639111057 | $173K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $166K |
| 5 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $156K |
| 6 | Mainegeneral Medical Center Augusta, ME · General Acute Care Hospital | $152K |
| 7 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $145K |
| 8 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $123K |
| 9 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $110K |
| 10 | 1598717480 | $107K |
| 11 | 1790706901 | $103K |
| 12 | 1831132133 | $101K |
| 13 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $99K |
| 14 | 1811524572 | $97K |
| 15 | 1649299827 | $89K |
| 16 | 1053356352 | $79K |
| 17 | 1811069685 | $77K |
| 18 | 1205882503 | $73K |
| 19 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $71K |
| 20 | 1568446755 | $70K |
Showing top 20 of 244 providers billing this code