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#1232 of 11K

G9004

HCPCS Procedure Code

HCPCS code G9004 is the #1,232 most-billed Medicaid procedure code, with $32.3M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $55.49.

Total Paid

$32.3M

0.00% of all spending

Total Claims

1.9M

Providers

103

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for G9004? Based on 67 providers billing this code nationally.

Median

$55.49

Average

$78.25

Std Dev

$133.80

Max

$748.17

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$55.49
p75
$75.00
p90
$109.00
p95
$317.92
p99
$640.06

50% of providers bill between $0.01 and $75.00 per claim for this code.

90% bill between $0.00 and $109.00.

Top 1% bill above $640.06.

About This Procedure

HCPCS code G9004 was billed by 103 providers across 1.9M claims, totaling $32.3M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.49

Providers Billing

67

National Spending

$32.3M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G9004

#ProviderTotal Paid
11144268848$26.7M
21770136418$1.8M
31689955098$1.6M
41790909703$892K
51275679060$307K
61972149565$179K
71972647725$81K
81669516415$58K
91447285390$48K
101942235825$46K
111417090754$37K
121578890273$36K
131336167196$36K
141518001338$35K
151225172042$34K
161447830922$33K
171033253851$29K
181720121817$29K
191477697290$20K
201992140990$20K

Showing top 20 of 103 providers billing this code