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#3109 of 11K

G0328

HCPCS Procedure Code

HCPCS code G0328 is the #3,109 most-billed Medicaid procedure code, with $2.5M in payments across 274K claims from 2018–2024. The national median cost per claim is $6.66. Costs vary widely — the 90th percentile is $18.06 per claim, 2.7× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

274K

Providers

374

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for G0328? Based on 259 providers billing this code nationally.

Median

$6.66

Average

$9.57

Std Dev

$13.36

Max

$104.53

Percentile Distribution (Cost per Claim)

p10
$0.22
p25
$1.30
Median
$6.66
p75
$14.23
p90
$18.06
p95
$21.72
p99
$75.10

50% of providers bill between $1.30 and $14.23 per claim for this code.

90% bill between $0.22 and $18.06.

Top 1% bill above $75.10.

About This Procedure

HCPCS code G0328 was billed by 374 providers across 274K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 256K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.66

Providers Billing

259

National Spending

$2.5M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0328

#ProviderTotal Paid
11245382753$831K
21477209740$178K
3Kaiser Foundation Health Plan Of The Northwest

Portland, OR · General Practice

$156K
4Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$93K
5Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$83K
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$83K
71295031649$82K
8The Miriam Hospital

Providence, RI · General Acute Care Hospital

$75K
9Group Health Plan, Inc.

Minneapolis, MN · Clinic/Center, Multi-Specialty

$52K
10Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$49K
11Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$49K
121821198755$48K
131215048913$33K
14Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$32K
151689009854$32K
16University Of Rochester

Rochester, NY · General Acute Care Hospital

$31K
17Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$31K
181124182902$24K
19Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$22K
20Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$22K

Showing top 20 of 374 providers billing this code