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#2516 of 11K

G0103

HCPCS Procedure Code

HCPCS code G0103 is the #2,516 most-billed Medicaid procedure code, with $5.2M in payments across 836K claims from 2018–2024. The national median cost per claim is $7.67. Costs vary widely — the 90th percentile is $15.48 per claim, 2.0× the median.

Total Paid

$5.2M

0.00% of all spending

Total Claims

836K

Providers

795

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for G0103? Based on 662 providers billing this code nationally.

Median

$7.67

Average

$8.45

Std Dev

$11.34

Max

$206.62

Percentile Distribution (Cost per Claim)

p10
$0.34
p25
$2.03
Median
$7.67
p75
$11.31
p90
$15.48
p95
$18.05
p99
$43.72

50% of providers bill between $2.03 and $11.31 per claim for this code.

90% bill between $0.34 and $15.48.

Top 1% bill above $43.72.

About This Procedure

HCPCS code G0103 was billed by 795 providers across 836K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 762K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.67

Providers Billing

662

National Spending

$5.2M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0103

#ProviderTotal Paid
1Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$257K
2Oakwood Healthcare, Inc.

Dearborn, MI · General Acute Care Hospital

$244K
31073587937$220K
4Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$207K
5William Beaumont Hospital

Royal Oak, MI · General Acute Care Hospital

$144K
6University Of Rochester

Rochester, NY · General Acute Care Hospital

$118K
7Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$99K
8Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$86K
9Rochester General Hospital-lab

Rochester, NY · Clinical Medical Laboratory

$84K
101972625499$82K
11Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$82K
121245382753$70K
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$67K
141861404121$66K
15Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$63K
16Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$58K
171861763658$57K
18Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$57K
19Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$53K
20Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$52K

Showing top 20 of 795 providers billing this code