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#8412 of 11K

G0117

HCPCS Procedure Code

HCPCS code G0117 is the #8,412 most-billed Medicaid procedure code, with $3K in payments across 27K claims from 2018–2024. The national median cost per claim is $17.98. Costs vary widely — the 90th percentile is $45.09 per claim, 2.5× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

27K

Providers

84

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for G0117? Based on 4 providers billing this code nationally.

Median

$17.98

Average

$22.50

Std Dev

$23.09

Max

$53.57

Percentile Distribution (Cost per Claim)

p10
$3.52
p25
$8.10
Median
$17.98
p75
$32.38
p90
$45.09
p95
$49.33
p99
$52.72

50% of providers bill between $8.10 and $32.38 per claim for this code.

90% bill between $3.52 and $45.09.

Top 1% bill above $52.72.

About This Procedure

HCPCS code G0117 was billed by 84 providers across 27K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.98

Providers Billing

4

National Spending

$3K

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0117

#ProviderTotal Paid
11942644661$1K
2Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$723
31790923605$696
41992878144$269
51891738845$0
61023102902$0
71225080864$0
81245266428$0
91982631792$0
101316056336$0
111215981618$0
121689858276$0
131780672295$0
141548296486$0
151740574318$0
161417946260$0
171114322963$0
181619927118$0
191396723219$0
201831435775$0

Showing top 20 of 84 providers billing this code