G0249
HCPCS Procedure Code
HCPCS code G0249 is the #2,443 most-billed Medicaid procedure code, with $5.8M in payments across 295K claims from 2018–2024. The national median cost per claim is $18.47. Costs vary widely — the 90th percentile is $70.28 per claim, 3.8× the median.
Total Paid
$5.8M
0.00% of all spending
Total Claims
295K
Providers
30
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for G0249? Based on 29 providers billing this code nationally.
Median
$18.47
Average
$28.79
Std Dev
$34.64
Max
$157.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.29 and $26.49 per claim for this code.
90% bill between $3.39 and $70.28.
Top 1% bill above $140.96.
About This Procedure
HCPCS code G0249 was billed by 30 providers across 295K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 265K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.47
Providers Billing
29
National Spending
$5.8M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0249
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760418370 | $2.4M |
| 2 | 1336420140 | $1.9M |
| 3 | 1215177431 | $458K |
| 4 | 1790869402 | $276K |
| 5 | 1952352478 | $150K |
| 6 | 1649593609 | $144K |
| 7 | 1225289895 | $123K |
| 8 | 1083880447 | $77K |
| 9 | 1629378567 | $55K |
| 10 | 1144471715 | $46K |
| 11 | 1427320399 | $40K |
| 12 | 1619030905 | $31K |
| 13 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $30K |
| 14 | 1457310492 | $28K |
| 15 | 1285932145 | $17K |
| 16 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $14K |
| 17 | 1821017880 | $10K |
| 18 | 1689665911 | $8K |
| 19 | 1730313289 | $8K |
| 20 | 1487712022 | $5K |
Showing top 20 of 30 providers billing this code