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#681 of 11K

G9001

HCPCS Procedure Code

HCPCS code G9001 is the #681 most-billed Medicaid procedure code, with $107.2M in payments across 505K claims from 2018–2024. The national median cost per claim is $53.98. Costs vary widely — the 90th percentile is $375.30 per claim, 7.0× the median.

Total Paid

$107.2M

0.01% of all spending

Total Claims

505K

Providers

246

Avg Cost/Claim

$212

National Cost Distribution

How much do providers bill per claim for G9001? Based on 234 providers billing this code nationally.

Median

$53.98

Average

$200.08

Std Dev

$420.60

Max

$1,600.00

Percentile Distribution (Cost per Claim)

p10
$11.82
p25
$24.12
Median
$53.98
p75
$77.22
p90
$375.30
p95
$1,582.11
p99
$1,600.00

50% of providers bill between $24.12 and $77.22 per claim for this code.

90% bill between $11.82 and $375.30.

Top 1% bill above $1,600.00.

About This Procedure

HCPCS code G9001 was billed by 246 providers across 505K claims, totaling $107.2M in Medicaid payments from 2018–2024. This code was used for 496K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.98

Providers Billing

234

National Spending

$107.2M

Avg/Median Ratio

3.71×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G9001

#ProviderTotal Paid
1Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$31.6M
21740211333$14.8M
31811049653$12.2M
41336659077$4.9M
51295106987$4.2M
61730112483$3.9M
71982074167$3.6M
81497998553$2.0M
91841700275$1.9M
101518910553$1.7M
111003979543$1.4M
121245603109$1.2M
131891120556$1.2M
141144268848$1.2M
151184960908$1.1M
16North Shore University Hospital

New Hyde Park, NY · Case Management

$1.1M
171124530407$1.0M
18Niagara Falls Memorial Medical Center

Niagara Falls, NY · General Acute Care Hospital

$1.0M
191164086096$908K
201639660566$783K

Showing top 20 of 246 providers billing this code