#3441 of 11K

G0445

HCPCS Procedure Code

HCPCS code G0445 is the #3,441 most-billed Medicaid procedure code, with $1.7M in payments across 186K claims from 2018–2024. The national median cost per claim is $10.60. Costs vary widely — the 90th percentile is $21.84 per claim, 2.1× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

186K

Providers

250

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for G0445? Based on 185 providers billing this code nationally.

Median

$10.60

Average

$11.66

Std Dev

$12.32

Max

$98.25

Percentile Distribution (Cost per Claim)

p10

$0.72

p25

$2.54

Median

$10.60

p75

$17.39

p90

$21.84

p95

$25.46

p99

$63.74

50% of providers bill between $2.54 and $17.39 per claim for this code.

90% bill between $0.72 and $21.84.

Top 1% bill above $63.74.

About This Procedure

HCPCS code G0445 was billed by 250 providers across 186K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 179K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.60

Providers Billing

185

National Spending

$1.7M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0445

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1144693607	$195K	$84.12	7.9× median	Top 1%
2	1053651208	$191K	$14.38	1.4× median	Above Median
3	1427486703	$97K	$17.67	1.7× median	Above 75th
4	Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner	$81K	$98.25	9.3× median	Top 1%
5	1598031924	$68K	$14.43	1.4× median	Above Median
6	1851650550	$61K	$14.17	1.3× median	Above Median
7	1043349194	$48K	$16.88	1.6× median	Above Median
8	1962594812	$43K	$9.88	0.9× median	Below Median
9	1609183540	$37K	$18.50	1.7× median	Above 75th
10	1326358193	$34K	$3.37	0.3× median	Below Median
11	1518372531	$33K	$16.18	1.5× median	Above Median
12	1649314766	$33K	$17.01	1.6× median	Above Median
13	1720015506	$32K	$18.51	1.7× median	Above 75th
14	1750304978	$32K	$10.99	1.0× median	Above Median
15	1497700736	$31K	$5.53	0.5× median	Below Median
16	1710343652	$29K	$11.12	1.0× median	Above Median
17	1225251507	$29K	$20.89	2.0× median	Above 75th
18	1992133227	$29K	$19.45	1.8× median	Above 75th
19	1982982336	$28K	$15.72	1.5× median	Above Median
20	1891867859	$27K	$9.79	0.9× median	Below Median

Showing top 20 of 250 providers billing this code

Related Procedures

G0447$31.8M G0439Annual wellness visit, subsequent visit$31.5M G0444Annual depression screening, fifteen minutes$14.5M G0442$12.0M G0438Annual wellness visit, first visit$6.8M

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