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#5486 of 11K

G0161

HCPCS Procedure Code

HCPCS code G0161 is the #5,486 most-billed Medicaid procedure code, with $189K in payments across 1,718 claims from 2018–2024. The national median cost per claim is $100.85.

Total Paid

$189K

0.00% of all spending

Total Claims

1,718

Providers

2

Avg Cost/Claim

$110

National Cost Distribution

How much do providers bill per claim for G0161? Based on 2 providers billing this code nationally.

Median

$100.85

Average

$100.85

Std Dev

$21.38

Max

$115.96

Percentile Distribution (Cost per Claim)

p10
$88.75
p25
$93.29
Median
$100.85
p75
$108.40
p90
$112.94
p95
$114.45
p99
$115.66

50% of providers bill between $93.29 and $108.40 per claim for this code.

90% bill between $88.75 and $112.94.

Top 1% bill above $115.66.

About This Procedure

HCPCS code G0161 was billed by 2 providers across 1,718 claims, totaling $189K in Medicaid payments from 2018–2024. This code was used for 466 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$100.85

Providers Billing

2

National Spending

$189K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.