G0496
HCPCS Procedure Code
HCPCS code G0496 is the #4,297 most-billed Medicaid procedure code, with $685K in payments across 366K claims from 2018–2024. The national median cost per claim is $26.77. Costs vary widely — the 90th percentile is $141.31 per claim, 5.3× the median.
Total Paid
$685K
0.00% of all spending
Total Claims
366K
Providers
246
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for G0496? Based on 27 providers billing this code nationally.
Median
$26.77
Average
$51.78
Std Dev
$66.35
Max
$238.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.40 and $65.40 per claim for this code.
90% bill between $1.86 and $141.31.
Top 1% bill above $234.85.
About This Procedure
HCPCS code G0496 was billed by 246 providers across 366K claims, totaling $685K in Medicaid payments from 2018–2024. This code was used for 104K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.77
Providers Billing
27
National Spending
$685K
Avg/Median Ratio
1.93×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0496
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295182830 | $177K |
| 2 | 1659577971 | $115K |
| 3 | 1952646952 | $70K |
| 4 | 1790786150 | $55K |
| 5 | 1114182870 | $51K |
| 6 | 1215297478 | $51K |
| 7 | 1205186210 | $41K |
| 8 | 1821301490 | $30K |
| 9 | 1083644017 | $20K |
| 10 | 1558366211 | $15K |
| 11 | 1003068180 | $15K |
| 12 | 1336618487 | $11K |
| 13 | 1932162096 | $8K |
| 14 | 1538686738 | $6K |
| 15 | 1194022657 | $5K |
| 16 | 1205141504 | $4K |
| 17 | 1295041036 | $2K |
| 18 | 1396900726 | $2K |
| 19 | 1174950505 | $2K |
| 20 | 1235194507 | $1K |
Showing top 20 of 246 providers billing this code