G0423
HCPCS Procedure Code
HCPCS code G0423 is the #5,022 most-billed Medicaid procedure code, with $318K in payments across 7,667 claims from 2018–2024. The national median cost per claim is $48.11. Costs vary widely — the 90th percentile is $103.74 per claim, 2.2× the median.
Total Paid
$318K
0.00% of all spending
Total Claims
7,667
Providers
12
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for G0423? Based on 11 providers billing this code nationally.
Median
$48.11
Average
$63.05
Std Dev
$74.79
Max
$257.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.50 and $81.78 per claim for this code.
90% bill between $7.51 and $103.74.
Top 1% bill above $242.41.
About This Procedure
HCPCS code G0423 was billed by 12 providers across 7,667 claims, totaling $318K in Medicaid payments from 2018–2024. This code was used for 1,581 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.11
Providers Billing
11
National Spending
$318K
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0423
| # | Provider | Total Paid |
|---|---|---|
| 1 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $229K |
| 2 | 1720031701 | $23K |
| 3 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $20K |
| 4 | 1972503142 | $17K |
| 5 | Geisinger Clinic Danville, PA · Surgery | $11K |
| 6 | 1942518022 | $9K |
| 7 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $4K |
| 8 | 1336109107 | $3K |
| 9 | 1982689113 | $835 |
| 10 | 1972939643 | $300 |
| 11 | 1659387934 | $217 |
| 12 | 1790775229 | $0 |
Showing top 12 of 12 providers billing this code