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#1471 of 11K

G0279

HCPCS Procedure Code

HCPCS code G0279 is the #1,471 most-billed Medicaid procedure code, with $22.0M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $17.77. Costs vary widely — the 90th percentile is $37.27 per claim, 2.1× the median.

Total Paid

$22.0M

0.00% of all spending

Total Claims

1.1M

Providers

2K

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for G0279? Based on 2K providers billing this code nationally.

Median

$17.77

Average

$20.01

Std Dev

$15.00

Max

$214.35

Percentile Distribution (Cost per Claim)

p10
$4.14
p25
$11.21
Median
$17.77
p75
$25.01
p90
$37.27
p95
$46.03
p99
$71.80

50% of providers bill between $11.21 and $25.01 per claim for this code.

90% bill between $4.14 and $37.27.

Top 1% bill above $71.80.

About This Procedure

HCPCS code G0279 was billed by 2K providers across 1.1M claims, totaling $22.0M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.77

Providers Billing

2K

National Spending

$22.0M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0279

#ProviderTotal Paid
11972004489$524K
21629327887$361K
31235105800$341K
41982700035$302K
51740283324$281K
61174573174$264K
71497148456$258K
8Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$222K
91679529978$214K
101558416974$212K
111003803214$204K
121982799375$192K
131295181477$188K
141003267196$185K
15Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$182K
16Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$177K
17Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$176K
181366496937$171K
191366459570$170K
201851352348$169K

Showing top 20 of 2K providers billing this code