G0403
HCPCS Procedure Code
HCPCS code G0403 is the #8,219 most-billed Medicaid procedure code, with $5K in payments across 2,503 claims from 2018–2024. The national median cost per claim is $1.86. Costs vary widely — the 90th percentile is $5.67 per claim, 3.0× the median.
Total Paid
$5K
0.00% of all spending
Total Claims
2,503
Providers
25
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for G0403? Based on 17 providers billing this code nationally.
Median
$1.86
Average
$2.90
Std Dev
$3.42
Max
$14.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.91 and $3.31 per claim for this code.
90% bill between $0.82 and $5.67.
Top 1% bill above $13.24.
About This Procedure
HCPCS code G0403 was billed by 25 providers across 2,503 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 2,266 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.86
Providers Billing
17
National Spending
$5K
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0403
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124392584 | $2K |
| 2 | 1225380603 | $648 |
| 3 | 1609869916 | $538 |
| 4 | 1881663904 | $386 |
| 5 | 1952681918 | $205 |
| 6 | 1144572553 | $181 |
| 7 | 1174833149 | $127 |
| 8 | 1295023547 | $110 |
| 9 | 1144236902 | $109 |
| 10 | 1992090310 | $70 |
| 11 | 1194842245 | $47 |
| 12 | 1932249596 | $42 |
| 13 | 1548538200 | $29 |
| 14 | 1770521270 | $26 |
| 15 | 1164604187 | $25 |
| 16 | 1952534927 | $17 |
| 17 | 1720456866 | $11 |
| 18 | 1861893844 | $0 |
| 19 | 1982855359 | $0 |
| 20 | 1457481053 | $0 |
Showing top 20 of 25 providers billing this code