G0411
HCPCS Procedure Code
HCPCS code G0411 is the #4,459 most-billed Medicaid procedure code, with $578K in payments across 50K claims from 2018–2024. The national median cost per claim is $15.60. Costs vary widely — the 90th percentile is $134.43 per claim, 8.6× the median.
Total Paid
$578K
0.00% of all spending
Total Claims
50K
Providers
13
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for G0411? Based on 9 providers billing this code nationally.
Median
$15.60
Average
$60.15
Std Dev
$107.67
Max
$333.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.81 and $79.72 per claim for this code.
90% bill between $0.49 and $134.43.
Top 1% bill above $313.21.
About This Procedure
HCPCS code G0411 was billed by 13 providers across 50K claims, totaling $578K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.60
Providers Billing
9
National Spending
$578K
Avg/Median Ratio
3.86×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0411
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003242942 | $309K |
| 2 | 1508810573 | $152K |
| 3 | 1083622120 | $61K |
| 4 | 1194762294 | $47K |
| 5 | 1942364062 | $4K |
| 6 | 1265903835 | $3K |
| 7 | 1174570683 | $2K |
| 8 | 1932164795 | $102 |
| 9 | 1962453134 | $57 |
| 10 | 1578042610 | $0 |
| 11 | 1871501916 | $0 |
| 12 | 1881707552 | $0 |
| 13 | 1942562541 | $0 |
Showing top 13 of 13 providers billing this code