G0406
HCPCS Procedure Code
HCPCS code G0406 is the #4,334 most-billed Medicaid procedure code, with $655K in payments across 48K claims from 2018–2024. The national median cost per claim is $6.02. Costs vary widely — the 90th percentile is $35.29 per claim, 5.9× the median.
Total Paid
$655K
0.00% of all spending
Total Claims
48K
Providers
133
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for G0406? Based on 114 providers billing this code nationally.
Median
$6.02
Average
$13.47
Std Dev
$17.92
Max
$142.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.79 and $20.85 per claim for this code.
90% bill between $0.40 and $35.29.
Top 1% bill above $45.53.
About This Procedure
HCPCS code G0406 was billed by 133 providers across 48K claims, totaling $655K in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.02
Providers Billing
114
National Spending
$655K
Avg/Median Ratio
2.24×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0406
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1073641254 | $152K |
| 2 | 1245473057 | $79K |
| 3 | 1104069277 | $75K |
| 4 | 1831399518 | $43K |
| 5 | 1386008936 | $35K |
| 6 | 1811171085 | $35K |
| 7 | 1972002228 | $17K |
| 8 | 1245222454 | $16K |
| 9 | 1033421953 | $16K |
| 10 | 1669575627 | $15K |
| 11 | 1427373638 | $14K |
| 12 | 1942394499 | $12K |
| 13 | 1194358523 | $10K |
| 14 | 1518386739 | $7K |
| 15 | 1538397120 | $7K |
| 16 | 1952740359 | $6K |
| 17 | Americare Inc. Brooklyn, NY · Home Health | $6K |
| 18 | 1538254511 | $5K |
| 19 | 1093191322 | $5K |
| 20 | 1801189592 | $5K |
Showing top 20 of 133 providers billing this code