G2212
Prolonged office/outpatient E/M, each additional 15 min
Prolonged office/outpatient E/M, each additional 15 min is the #382 most-billed Medicaid procedure code, with $289.9M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $72.96. Costs vary widely — the 90th percentile is $504.85 per claim, 6.9× the median.
Total Paid
$289.9M
0.03% of all spending
Total Claims
1.1M
Providers
747
Avg Cost/Claim
$273
National Cost Distribution
How much do providers bill per claim for G2212? Based on 675 providers billing this code nationally.
Median
$72.96
Average
$192.33
Std Dev
$214.11
Max
$1,227.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.62 and $339.25 per claim for this code.
90% bill between $5.27 and $504.85.
Top 1% bill above $808.07.
About This Procedure
HCPCS code G2212 (Prolonged office/outpatient E/M, each additional 15 min) was billed by 747 providers across 1.1M claims, totaling $289.9M in Medicaid payments from 2018–2024. This code was used for 683K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.96
Providers Billing
675
National Spending
$289.9M
Avg/Median Ratio
2.64×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G2212
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $91.2M |
| 2 | County Of Sacramento Sacramento, CA · Clinic/Center Adult Mental Health | $17.2M |
| 3 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $16.1M |
| 4 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $16.0M |
| 5 | County Of Riverside Riverside, CA · Community/Behavioral Health | $12.3M |
| 6 | Contra Costa County Martinez, CA · General Acute Care Hospital | $10.6M |
| 7 | County Of Fresno Fresno, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $10.0M |
| 8 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $6.9M |
| 9 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $6.0M |
| 10 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $5.6M |
| 11 | County Of Tulare Visalia, CA · Clinic/Center Public Health State or Local | $5.4M |
| 12 | County Of San Diego San Diego, CA · Public Health or Welfare | $4.7M |
| 13 | County Of Solano Fairfield, CA · Public Health or Welfare | $3.4M |
| 14 | County Of Ventura Oxnard, CA · Community/Behavioral Health | $2.9M |
| 15 | County Of Stanislaus Modesto, CA · Community/Behavioral Health | $2.6M |
| 16 | 1750715801 | $1.9M |
| 17 | Santa Barbara County Auditor Santa Barbara, CA · Psychologist | $1.5M |
| 18 | 1154342814 | $1.5M |
| 19 | 1861425282 | $1.2M |
| 20 | 1598988180 | $1.2M |
Showing top 20 of 747 providers billing this code