G0513
HCPCS Procedure Code
HCPCS code G0513 is the #6,204 most-billed Medicaid procedure code, with $84K in payments across 5K claims from 2018–2024. The national median cost per claim is $3.71. Costs vary widely — the 90th percentile is $67.02 per claim, 18.1× the median.
Total Paid
$84K
0.00% of all spending
Total Claims
5K
Providers
21
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for G0513? Based on 7 providers billing this code nationally.
Median
$3.71
Average
$23.69
Std Dev
$46.47
Max
$126.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.75 and $15.79 per claim for this code.
90% bill between $0.69 and $67.02.
Top 1% bill above $120.93.
About This Procedure
HCPCS code G0513 was billed by 21 providers across 5K claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.71
Providers Billing
7
National Spending
$84K
Avg/Median Ratio
6.39×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0513
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225524242 | $81K |
| 2 | 1790732964 | $2K |
| 3 | 1861411134 | $477 |
| 4 | 1003970260 | $266 |
| 5 | 1114081270 | $119 |
| 6 | 1780748939 | $59 |
| 7 | 1134563976 | $5 |
| 8 | 1154456440 | $0 |
| 9 | 1740626340 | $0 |
| 10 | 1649983727 | $0 |
| 11 | 1811088628 | $0 |
| 12 | 1528003936 | $0 |
| 13 | 1487655726 | $0 |
| 14 | 1720524333 | $0 |
| 15 | 1700869450 | $0 |
| 16 | 1508884412 | $0 |
| 17 | 1205088838 | $0 |
| 18 | 1235683038 | $0 |
| 19 | 1285220590 | $0 |
| 20 | 1902173271 | $0 |
Showing top 20 of 21 providers billing this code