#4010 of 11K

G0433

Drug screening, definitive, per date of service

Drug screening, definitive, per date of service is the #4,010 most-billed Medicaid procedure code, with $937K in payments across 104K claims from 2018–2024. The national median cost per claim is $12.70.

Total Paid

$937K

0.00% of all spending

Total Claims

104K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0433? Based on 77 providers billing this code nationally.

Median

$12.70

Average

$10.92

Std Dev

$6.57

Max

$44.01

Percentile Distribution (Cost per Claim)

p10

$0.88

p25

$6.83

Median

$12.70

p75

$14.50

p90

$16.32

p95

$17.26

p99

$25.95

50% of providers bill between $6.83 and $14.50 per claim for this code.

90% bill between $0.88 and $16.32.

Top 1% bill above $25.95.

About This Procedure

HCPCS code G0433 (Drug screening, definitive, per date of service) was billed by 89 providers across 104K claims, totaling $937K in Medicaid payments from 2018–2024. This code was used for 92K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.70

Providers Billing

National Spending

$937K

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0433

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1396316212	$223K	$8.51	0.7× median	Below Median
2	1588738389	$95K	$14.50	1.1× median	Above 75th
3	1255462487	$85K	$19.00	1.5× median	Top 10%
4	1902841414	$46K	$12.23	1.0× median	Below Median
5	1821372277	$38K	$3.75	0.3× median	Below Median
6	1568414589	$34K	$10.17	0.8× median	Below Median
7	1750307393	$26K	$13.85	1.1× median	Above Median
8	1568403111	$26K	$8.23	0.6× median	Below Median
9	1780901587	$26K	$5.62	0.4× median	Below Median
10	1982777256	$24K	$14.43	1.1× median	Above Median
11	1023097771	$21K	$7.74	0.6× median	Below Median
12	1760535660	$20K	$13.59	1.1× median	Above Median
13	1932517067	$19K	$14.97	1.2× median	Above 75th
14	1023083854	$18K	$6.83	0.5× median	Below Median
15	1902338049	$17K	$20.25	1.6× median	Top 10%
16	1619914652	$15K	$9.98	0.8× median	Below Median
17	1215916002	$15K	$11.60	0.9× median	Below Median
18	Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital	$13K	$9.18	0.7× median	Below Median
19	1003543075	$12K	$13.54	1.1× median	Above Median
20	1235248071	$12K	$14.25	1.1× median	Above Median

Showing top 20 of 89 providers billing this code

Related Procedures

G0439Annual wellness visit, subsequent visit$31.5M G0442$12.0M G0438Annual wellness visit, first visit$6.8M G0434$1.0M G0432$899K

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