G0166
HCPCS Procedure Code
HCPCS code G0166 is the #5,179 most-billed Medicaid procedure code, with $269K in payments across 15K claims from 2018–2024. The national median cost per claim is $25.67.
Total Paid
$269K
0.00% of all spending
Total Claims
15K
Providers
7
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for G0166? Based on 7 providers billing this code nationally.
Median
$25.67
Average
$17.61
Std Dev
$15.86
Max
$35.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.41 and $29.41 per claim for this code.
90% bill between $0.85 and $33.08.
Top 1% bill above $35.52.
About This Procedure
HCPCS code G0166 was billed by 7 providers across 15K claims, totaling $269K in Medicaid payments from 2018–2024. This code was used for 1,456 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.67
Providers Billing
7
National Spending
$269K
Avg/Median Ratio
0.69×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0166
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558437541 | $233K |
| 2 | 1063479657 | $16K |
| 3 | 1336354315 | $8K |
| 4 | 1992766604 | $8K |
| 5 | 1245260298 | $3K |
| 6 | 1396082517 | $668 |
| 7 | 1598898330 | $656 |
Showing top 7 of 7 providers billing this code