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#6342 of 11K

G0365

HCPCS Procedure Code

HCPCS code G0365 is the #6,342 most-billed Medicaid procedure code, with $73K in payments across 1,067 claims from 2018–2024. The national median cost per claim is $31.17. Costs vary widely — the 90th percentile is $78.42 per claim, 2.5× the median.

Total Paid

$73K

0.00% of all spending

Total Claims

1,067

Providers

8

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for G0365? Based on 6 providers billing this code nationally.

Median

$31.17

Average

$40.64

Std Dev

$39.64

Max

$116.68

Percentile Distribution (Cost per Claim)

p10
$12.35
p25
$24.98
Median
$31.17
p75
$38.72
p90
$78.42
p95
$97.55
p99
$112.85

50% of providers bill between $24.98 and $38.72 per claim for this code.

90% bill between $12.35 and $78.42.

Top 1% bill above $112.85.

About This Procedure

HCPCS code G0365 was billed by 8 providers across 1,067 claims, totaling $73K in Medicaid payments from 2018–2024. This code was used for 848 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.17

Providers Billing

6

National Spending

$73K

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0365

#ProviderTotal Paid
11316902208$67K
21265831432$3K
31083750525$1K
41134169568$419
51578942512$384
61104906569$160
71346255924$0
81215013990$0

Showing top 8 of 8 providers billing this code

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