#3699 of 11K

G0307

HCPCS Procedure Code

HCPCS code G0307 is the #3,699 most-billed Medicaid procedure code, with $1.3M in payments across 257K claims from 2018–2024. The national median cost per claim is $1.40. Costs vary widely — the 90th percentile is $29.42 per claim, 21.0× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

257K

Providers

252

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0307? Based on 97 providers billing this code nationally.

Median

$1.40

Average

$14.59

Std Dev

$42.49

Max

$291.81

Percentile Distribution (Cost per Claim)

p10

$0.01

p25

$0.05

Median

$1.40

p75

$4.45

p90

$29.42

p95

$115.69

p99

$153.70

50% of providers bill between $0.05 and $4.45 per claim for this code.

90% bill between $0.01 and $29.42.

Top 1% bill above $153.70.

About This Procedure

HCPCS code G0307 was billed by 252 providers across 257K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 227K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.40

Providers Billing

National Spending

$1.3M

Avg/Median Ratio

10.42×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0307

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1912372293	$235K	$138.01	98.6× median	Top 10%
2	1891807640	$190K	$135.42	96.7× median	Top 10%
3	1811009665	$180K	$147.94	105.7× median	Top 10%
4	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$109K	$4.45	3.2× median	Above Median
5	1154567998	$82K	$122.89	87.8× median	Top 10%
6	1942304720	$66K	$110.08	78.6× median	Top 10%
7	1629275383	$46K	$40.33	28.8× median	Top 10%
8	1780915009	$43K	$113.89	81.3× median	Top 10%
9	1407803638	$41K	$5.85	4.2× median	Above 75th
10	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$39K	$3.21	2.3× median	Above Median
11	1215031091	$28K	$18.86	13.5× median	Above 75th
12	1588988646	$28K	$24.66	17.6× median	Above 75th
13	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$22K	$4.33	3.1× median	Above Median
14	1700979325	$19K	$291.81	208.4× median	Top 1%
15	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$18K	$1.30	0.9× median	Below Median
16	1710092556	$14K	$3.47	2.5× median	Above Median
17	1114091840	$13K	$8.05	5.7× median	Above 75th
18	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$12K	$1.37	1.0× median	Below Median
19	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$10K	$3.82	2.7× median	Above Median
20	1821455494	$9K	$8.74	6.2× median	Above 75th

Showing top 20 of 252 providers billing this code

Related Procedures

G0299Skilled nursing services, home health, per visit, RN$1.91B G0300Skilled nursing services, home health, per visit, LPN$1.39B G0297$4.6M G0315$2.6M G0306$1.5M

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