G0498
HCPCS Procedure Code
HCPCS code G0498 is the #3,517 most-billed Medicaid procedure code, with $1.6M in payments across 17K claims from 2018–2024. The national median cost per claim is $58.18. Costs vary widely — the 90th percentile is $182.53 per claim, 3.1× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
17K
Providers
38
Avg Cost/Claim
$92
National Cost Distribution
How much do providers bill per claim for G0498? Based on 35 providers billing this code nationally.
Median
$58.18
Average
$96.60
Std Dev
$124.35
Max
$642.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.16 and $145.21 per claim for this code.
90% bill between $1.96 and $182.53.
Top 1% bill above $536.90.
About This Procedure
HCPCS code G0498 was billed by 38 providers across 17K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.18
Providers Billing
35
National Spending
$1.6M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0498
| # | Provider | Total Paid |
|---|---|---|
| 1 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $381K |
| 2 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $187K |
| 3 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $158K |
| 4 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $143K |
| 5 | 1851361778 | $129K |
| 6 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $101K |
| 7 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $101K |
| 8 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $95K |
| 9 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $77K |
| 10 | Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital | $41K |
| 11 | 1174582050 | $35K |
| 12 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $23K |
| 13 | 1164493847 | $22K |
| 14 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $17K |
| 15 | Mainehealth Portland, ME · Emergency Medicine | $17K |
| 16 | 1427007848 | $12K |
| 17 | 1295023547 | $8K |
| 18 | 1871886366 | $7K |
| 19 | 1003991845 | $5K |
| 20 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $5K |
Showing top 20 of 38 providers billing this code