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#7048 of 11K

G0323

HCPCS Procedure Code

HCPCS code G0323 is the #7,048 most-billed Medicaid procedure code, with $30K in payments across 5K claims from 2018–2024. The national median cost per claim is $8.46. Costs vary widely — the 90th percentile is $47.36 per claim, 5.6× the median.

Total Paid

$30K

0.00% of all spending

Total Claims

5K

Providers

9

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for G0323? Based on 9 providers billing this code nationally.

Median

$8.46

Average

$18.63

Std Dev

$22.66

Max

$53.78

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.03
Median
$8.46
p75
$45.44
p90
$47.36
p95
$50.57
p99
$53.13

50% of providers bill between $0.03 and $45.44 per claim for this code.

90% bill between $0.01 and $47.36.

Top 1% bill above $53.13.

About This Procedure

HCPCS code G0323 was billed by 9 providers across 5K claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.46

Providers Billing

9

National Spending

$30K

Avg/Median Ratio

2.20×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0323

#ProviderTotal Paid
11962986786$12K
21285650457$9K
31811598881$4K
41053352401$3K
51265113260$2K
61811284391$595
71548765258$33
81083012074$8
91205466265$2

Showing top 9 of 9 providers billing this code