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#3936 of 11K

G0434

HCPCS Procedure Code

HCPCS code G0434 is the #3,936 most-billed Medicaid procedure code, with $1.0M in payments across 64K claims from 2018–2024. The national median cost per claim is $15.83.

Total Paid

$1.0M

0.00% of all spending

Total Claims

64K

Providers

16

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for G0434? Based on 8 providers billing this code nationally.

Median

$15.83

Average

$15.97

Std Dev

$0.42

Max

$17.00

Percentile Distribution (Cost per Claim)

p10
$15.81
p25
$15.83
Median
$15.83
p75
$15.83
p90
$16.18
p95
$16.59
p99
$16.92

50% of providers bill between $15.83 and $15.83 per claim for this code.

90% bill between $15.81 and $16.18.

Top 1% bill above $16.92.

About This Procedure

HCPCS code G0434 was billed by 16 providers across 64K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.83

Providers Billing

8

National Spending

$1.0M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0434

#ProviderTotal Paid
11386925394$251K
21093208266$235K
31306969787$213K
41689682999$169K
51578843660$64K
61386888279$28K
71336404417$22K
81184289548$20K
91881702710$0
101669593562$0
111649577495$0
121902892870$0
131699010348$0
141851699110$0
151922545755$0
16Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$0

Showing top 16 of 16 providers billing this code