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#2365 of 11K

G0500

HCPCS Procedure Code

HCPCS code G0500 is the #2,365 most-billed Medicaid procedure code, with $6.3M in payments across 381K claims from 2018–2024. The national median cost per claim is $5.04. Costs vary widely — the 90th percentile is $46.57 per claim, 9.2× the median.

Total Paid

$6.3M

0.00% of all spending

Total Claims

381K

Providers

593

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for G0500? Based on 473 providers billing this code nationally.

Median

$5.04

Average

$17.62

Std Dev

$25.94

Max

$224.03

Percentile Distribution (Cost per Claim)

p10
$0.27
p25
$1.05
Median
$5.04
p75
$28.83
p90
$46.57
p95
$57.57
p99
$111.91

50% of providers bill between $1.05 and $28.83 per claim for this code.

90% bill between $0.27 and $46.57.

Top 1% bill above $111.91.

About This Procedure

HCPCS code G0500 was billed by 593 providers across 381K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 355K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.04

Providers Billing

473

National Spending

$6.3M

Avg/Median Ratio

3.50×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0500

#ProviderTotal Paid
11750418810$685K
21871633099$644K
31558475459$407K
41780736736$192K
5Bakersfield Memorial Hospital

Bakersfield, CA · General Acute Care Hospital

$192K
61932578028$184K
7Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$159K
81114222155$150K
91942328273$135K
101922116037$127K
111912994989$118K
121760492367$116K
131770889297$108K
141104981661$93K
151275581894$85K
161063454692$77K
171518018191$76K
181144497678$75K
191063441293$74K
201316049190$74K

Showing top 20 of 593 providers billing this code