G0246
HCPCS Procedure Code
HCPCS code G0246 is the #7,357 most-billed Medicaid procedure code, with $20K in payments across 16K claims from 2018–2024. The national median cost per claim is $2.89. Costs vary widely — the 90th percentile is $6.96 per claim, 2.4× the median.
Total Paid
$20K
0.00% of all spending
Total Claims
16K
Providers
56
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for G0246? Based on 30 providers billing this code nationally.
Median
$2.89
Average
$4.20
Std Dev
$5.44
Max
$25.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.60 and $5.44 per claim for this code.
90% bill between $0.10 and $6.96.
Top 1% bill above $23.24.
About This Procedure
HCPCS code G0246 was billed by 56 providers across 16K claims, totaling $20K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.89
Providers Billing
30
National Spending
$20K
Avg/Median Ratio
1.45×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0246
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1366659849 | $4K |
| 2 | 1871880682 | $4K |
| 3 | 1629045778 | $3K |
| 4 | 1356443337 | $2K |
| 5 | 1245600493 | $889 |
| 6 | 1568685758 | $771 |
| 7 | 1285919068 | $749 |
| 8 | 1255317046 | $692 |
| 9 | 1457601601 | $421 |
| 10 | 1891746533 | $286 |
| 11 | 1679833131 | $262 |
| 12 | 1427467703 | $251 |
| 13 | 1316239155 | $229 |
| 14 | 1477730315 | $223 |
| 15 | 1942697974 | $217 |
| 16 | 1942389986 | $192 |
| 17 | 1134336811 | $164 |
| 18 | 1316177462 | $131 |
| 19 | 1407805088 | $99 |
| 20 | 1104954668 | $99 |
Showing top 20 of 56 providers billing this code