G0416
HCPCS Procedure Code
HCPCS code G0416 is the #5,541 most-billed Medicaid procedure code, with $179K in payments across 1,881 claims from 2018–2024. The national median cost per claim is $39.45. Costs vary widely — the 90th percentile is $333.42 per claim, 8.5× the median.
Total Paid
$179K
0.00% of all spending
Total Claims
1,881
Providers
17
Avg Cost/Claim
$95
National Cost Distribution
How much do providers bill per claim for G0416? Based on 15 providers billing this code nationally.
Median
$39.45
Average
$131.13
Std Dev
$166.47
Max
$569.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.71 and $209.94 per claim for this code.
90% bill between $11.49 and $333.42.
Top 1% bill above $540.67.
About This Procedure
HCPCS code G0416 was billed by 17 providers across 1,881 claims, totaling $179K in Medicaid payments from 2018–2024. This code was used for 1,619 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.45
Providers Billing
15
National Spending
$179K
Avg/Median Ratio
3.32×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0416
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780830737 | $78K |
| 2 | A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory | $31K |
| 3 | 1700153921 | $30K |
| 4 | 1912997354 | $17K |
| 5 | 1023006434 | $7K |
| 6 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $4K |
| 7 | 1124316138 | $3K |
| 8 | 1467546135 | $3K |
| 9 | 1659390763 | $3K |
| 10 | 1467433292 | $1K |
| 11 | 1962481820 | $825 |
| 12 | 1063619922 | $570 |
| 13 | 1497120653 | $508 |
| 14 | 1235215427 | $166 |
| 15 | 1588822423 | $46 |
| 16 | 1609823004 | $0 |
| 17 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $0 |
Showing top 17 of 17 providers billing this code