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#3062 of 11K

G0315

HCPCS Procedure Code

HCPCS code G0315 is the #3,062 most-billed Medicaid procedure code, with $2.6M in payments across 83K claims from 2018–2024. The national median cost per claim is $29.35.

Total Paid

$2.6M

0.00% of all spending

Total Claims

83K

Providers

59

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for G0315? Based on 53 providers billing this code nationally.

Median

$29.35

Average

$25.09

Std Dev

$10.59

Max

$39.28

Percentile Distribution (Cost per Claim)

p10
$7.60
p25
$18.18
Median
$29.35
p75
$31.03
p90
$35.94
p95
$37.57
p99
$39.01

50% of providers bill between $18.18 and $31.03 per claim for this code.

90% bill between $7.60 and $35.94.

Top 1% bill above $39.01.

About This Procedure

HCPCS code G0315 was billed by 59 providers across 83K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 74K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.35

Providers Billing

53

National Spending

$2.6M

Avg/Median Ratio

0.85×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0315

#ProviderTotal Paid
11508047275$627K
21225498231$389K
31790939221$329K
41710149372$224K
51972810083$194K
61881876795$162K
71366567190$141K
81033303490$118K
91720053432$48K
101821612276$42K
111740321173$37K
121497095772$33K
131538350764$32K
141740428663$31K
151942252648$26K
161104847235$25K
171265634539$23K
181730510447$18K
191346675196$17K
201205871076$15K

Showing top 20 of 59 providers billing this code