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#6315 of 11K

G0271

HCPCS Procedure Code

HCPCS code G0271 is the #6,315 most-billed Medicaid procedure code, with $76K in payments across 30K claims from 2018–2024. The national median cost per claim is $1.86. Costs vary widely — the 90th percentile is $14.53 per claim, 7.8× the median.

Total Paid

$76K

0.00% of all spending

Total Claims

30K

Providers

32

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for G0271? Based on 17 providers billing this code nationally.

Median

$1.86

Average

$6.20

Std Dev

$7.86

Max

$28.05

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.11
Median
$1.86
p75
$11.03
p90
$14.53
p95
$18.40
p99
$26.12

50% of providers bill between $0.11 and $11.03 per claim for this code.

90% bill between $0.04 and $14.53.

Top 1% bill above $26.12.

About This Procedure

HCPCS code G0271 was billed by 32 providers across 30K claims, totaling $76K in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.86

Providers Billing

17

National Spending

$76K

Avg/Median Ratio

3.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0271

#ProviderTotal Paid
1Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$53K
21649255100$11K
31952320061$6K
41588847107$1K
51790782969$1K
6New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$1K
71285106005$779
81952694382$651
91649565201$347
101467633586$282
111225574973$190
121962460352$110
131356950729$72
141528102787$49
151679660286$37
161174610760$19
171164617130$6
181063040152$0
191255692372$0
201639177587$0

Showing top 20 of 32 providers billing this code