#2317 of 11K

G0451

HCPCS Procedure Code

HCPCS code G0451 is the #2,317 most-billed Medicaid procedure code, with $6.7M in payments across 150K claims from 2018–2024. The national median cost per claim is $50.86.

Total Paid

$6.7M

0.00% of all spending

Total Claims

150K

Providers

Avg Cost/Claim

$45

National Cost Distribution

How much do providers bill per claim for G0451? Based on 49 providers billing this code nationally.

Median

$50.86

Average

$43.93

Std Dev

$58.87

Max

$412.18

Percentile Distribution (Cost per Claim)

p10

$1.41

p25

$11.88

Median

$50.86

p75

$57.81

p90

$60.45

p95

$61.51

p99

$245.94

50% of providers bill between $11.88 and $57.81 per claim for this code.

90% bill between $1.41 and $60.45.

Top 1% bill above $245.94.

About This Procedure

HCPCS code G0451 was billed by 64 providers across 150K claims, totaling $6.7M in Medicaid payments from 2018–2024. This code was used for 146K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.86

Providers Billing

National Spending

$6.7M

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0451

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$3.1M	$49.01	1.0× median	Below Median
2	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$661K	$56.53	1.1× median	Above Median
3	1699087270	$516K	$59.10	1.2× median	Above 75th
4	1831116441	$503K	$28.03	0.6× median	Below Median
5	1104901685	$406K	$57.12	1.1× median	Above Median
6	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$253K	$29.33	0.6× median	Below Median
7	1285709964	$191K	$59.29	1.2× median	Above 75th
8	1932200318	$174K	$57.81	1.1× median	Above 75th
9	1932280534	$127K	$54.69	1.1× median	Above Median
10	1790882199	$115K	$53.37	1.0× median	Above Median
11	1104996917	$110K	$55.78	1.1× median	Above Median
12	1518051812	$93K	$55.92	1.1× median	Above Median
13	1952529315	$82K	$60.44	1.2× median	Above 75th
14	1396858999	$70K	$58.94	1.2× median	Above 75th
15	1033361357	$62K	$412.18	8.1× median	Top 1%
16	1649267113	$53K	$59.38	1.2× median	Above 75th
17	1568519676	$44K	$57.15	1.1× median	Above Median
18	1437454766	$39K	$52.32	1.0× median	Above Median
19	1083644579	$29K	$24.15	0.5× median	Below Median
20	1174671416	$16K	$50.86	1.0× median	Above Median

Showing top 20 of 64 providers billing this code

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