G0168
HCPCS Procedure Code
HCPCS code G0168 is the #6,210 most-billed Medicaid procedure code, with $83K in payments across 807 claims from 2018–2024. The national median cost per claim is $25.10. Costs vary widely — the 90th percentile is $273.45 per claim, 10.9× the median.
Total Paid
$83K
0.00% of all spending
Total Claims
807
Providers
14
Avg Cost/Claim
$103
National Cost Distribution
How much do providers bill per claim for G0168? Based on 10 providers billing this code nationally.
Median
$25.10
Average
$90.26
Std Dev
$129.57
Max
$365.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.93 and $131.46 per claim for this code.
90% bill between $5.35 and $273.45.
Top 1% bill above $356.13.
About This Procedure
HCPCS code G0168 was billed by 14 providers across 807 claims, totaling $83K in Medicaid payments from 2018–2024. This code was used for 744 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.10
Providers Billing
10
National Spending
$83K
Avg/Median Ratio
3.60×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0168
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $54K |
| 2 | 1477640258 | $19K |
| 3 | 1871678458 | $7K |
| 4 | 1972681187 | $1K |
| 5 | 1801843743 | $1K |
| 6 | 1811073901 | $470 |
| 7 | 1023114634 | $203 |
| 8 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $178 |
| 9 | 1073655171 | $126 |
| 10 | 1528006103 | $48 |
| 11 | 1871566521 | $0 |
| 12 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $0 |
| 13 | Southern California Permanente Medical Group Anaheim, CA · Health Maintenance Organization | $0 |
| 14 | 1265528939 | $0 |
Showing top 14 of 14 providers billing this code