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

#3490 of 11K

G0228

HCPCS Procedure Code

HCPCS code G0228 is the #3,490 most-billed Medicaid procedure code, with $1.6M in payments across 7K claims from 2018–2024. The national median cost per claim is $218.94.

Total Paid

$1.6M

0.00% of all spending

Total Claims

7K

Providers

3

Avg Cost/Claim

$218

National Cost Distribution

How much do providers bill per claim for G0228? Based on 3 providers billing this code nationally.

Median

$218.94

Average

$219.21

Std Dev

$1.76

Max

$221.09

Percentile Distribution (Cost per Claim)

p10
$217.87
p25
$218.27
Median
$218.94
p75
$220.01
p90
$220.66
p95
$220.87
p99
$221.05

50% of providers bill between $218.27 and $220.01 per claim for this code.

90% bill between $217.87 and $220.66.

Top 1% bill above $221.05.

About This Procedure

HCPCS code G0228 was billed by 3 providers across 7K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$218.94

Providers Billing

3

National Spending

$1.6M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.