Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2159 of 11K

G0145

HCPCS Procedure Code

HCPCS code G0145 is the #2,159 most-billed Medicaid procedure code, with $8.4M in payments across 870K claims from 2018–2024. The national median cost per claim is $13.80.

Total Paid

$8.4M

0.00% of all spending

Total Claims

870K

Providers

387

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for G0145? Based on 311 providers billing this code nationally.

Median

$13.80

Average

$12.58

Std Dev

$10.12

Max

$47.87

Percentile Distribution (Cost per Claim)

p10
$0.37
p25
$2.15
Median
$13.80
p75
$19.98
p90
$26.09
p95
$27.87
p99
$36.10

50% of providers bill between $2.15 and $19.98 per claim for this code.

90% bill between $0.37 and $26.09.

Top 1% bill above $36.10.

About This Procedure

HCPCS code G0145 was billed by 387 providers across 870K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 839K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.80

Providers Billing

311

National Spending

$8.4M

Avg/Median Ratio

0.91×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0145

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$947K
2University Of Rochester

Rochester, NY · General Acute Care Hospital

$586K
31891873303$410K
41285625111$345K
5Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$310K
61831116441$294K
7Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$271K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$257K
91932109675$244K
101225016140$243K
11Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$234K
121972548568$203K
131952307852$197K
14Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$192K
15Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$151K
16Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$145K
17Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$143K
181407301211$135K
19Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$120K
20U Of R Neurology Department

Rochester, NY · Psychiatry & Neurology Neurology

$120K

Showing top 20 of 387 providers billing this code