#4324 of 11K

G0422

HCPCS Procedure Code

HCPCS code G0422 is the #4,324 most-billed Medicaid procedure code, with $665K in payments across 34K claims from 2018–2024. The national median cost per claim is $36.67. Costs vary widely — the 90th percentile is $77.85 per claim, 2.1× the median.

Total Paid

$665K

0.00% of all spending

Total Claims

34K

Providers

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for G0422? Based on 15 providers billing this code nationally.

Median

$36.67

Average

$45.79

Std Dev

$39.19

Max

$146.91

Percentile Distribution (Cost per Claim)

p10

$2.67

p25

$17.56

Median

$36.67

p75

$66.43

p90

$77.85

p95

$99.88

p99

$137.50

50% of providers bill between $17.56 and $66.43 per claim for this code.

90% bill between $2.67 and $77.85.

Top 1% bill above $137.50.

About This Procedure

HCPCS code G0422 was billed by 19 providers across 34K claims, totaling $665K in Medicaid payments from 2018–2024. This code was used for 5,016 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.67

Providers Billing

National Spending

$665K

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0422

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Regents Of The University Of California San Diego, CA · General Acute Care Hospital	$362K	$79.72	2.2× median	Top 10%
2	1972503142	$94K	$75.04	2.0× median	Above 75th
3	Geisinger Clinic Danville, PA · Surgery	$54K	$72.89	2.0× median	Above 75th
4	1336109107	$40K	$146.91	4.0× median	Top 1%
5	1659387934	$36K	$22.71	0.6× median	Below Median
6	Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital	$29K	$56.76	1.5× median	Above Median
7	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$21K	$20.35	0.6× median	Below Median
8	1336155738	$14K	$58.78	1.6× median	Above Median
9	1780658443	$4K	$59.97	1.6× median	Above Median
10	1942518022	$3K	$36.67	1.0× median	Above Median
11	1972939643	$2K	$6.14	0.2× median	Below Median
12	1790775229	$2K	$35.68	1.0× median	Below Median
13	1982689113	$2K	$0.36	0.0× median	Below Median
14	1548553811	$1K	$14.77	0.4× median	Below Median
15	Our Lady Of The Lake Physician Group Llc Baton Rouge, LA · Allergy & Immunology	$24	$0.10	0.0× median	Below Median
16	Total Longterm Care Inc. Aurora, CO · PACE Provider Organization	$0	$0.00	0.0× median	Below Median
17	1720031701	$0	$0.00	0.0× median	Below Median
18	1689754046	$0	$0.00	0.0× median	Below Median
19	1891482113	$0	$0.00	0.0× median	Below Median

Showing top 19 of 19 providers billing this code

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