G0316
HCPCS Procedure Code
HCPCS code G0316 is the #4,720 most-billed Medicaid procedure code, with $433K in payments across 11K claims from 2018–2024. The national median cost per claim is $9.70. Costs vary widely — the 90th percentile is $52.36 per claim, 5.4× the median.
Total Paid
$433K
0.00% of all spending
Total Claims
11K
Providers
70
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for G0316? Based on 65 providers billing this code nationally.
Median
$9.70
Average
$27.65
Std Dev
$60.40
Max
$405.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.50 and $24.21 per claim for this code.
90% bill between $1.13 and $52.36.
Top 1% bill above $277.19.
About This Procedure
HCPCS code G0316 was billed by 70 providers across 11K claims, totaling $433K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.70
Providers Billing
65
National Spending
$433K
Avg/Median Ratio
2.85×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0316
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720177967 | $140K |
| 2 | 1184718082 | $136K |
| 3 | Medstar Medical Group Ii Llc Baltimore, MD · General Practice | $30K |
| 4 | 1104877075 | $24K |
| 5 | Children's Specialty Group, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $17K |
| 6 | 1699720086 | $14K |
| 7 | 1366539421 | $11K |
| 8 | Santa Barbara County Auditor Santa Barbara, CA · Psychologist | $9K |
| 9 | 1356745152 | $4K |
| 10 | 1477530624 | $4K |
| 11 | 1952550097 | $4K |
| 12 | 1326093873 | $3K |
| 13 | 1982086914 | $3K |
| 14 | 1245416122 | $3K |
| 15 | 1174956973 | $3K |
| 16 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $2K |
| 17 | 1104900455 | $2K |
| 18 | 1881642239 | $2K |
| 19 | 1023041159 | $2K |
| 20 | 1902332133 | $2K |
Showing top 20 of 70 providers billing this code