G0452
HCPCS Procedure Code
HCPCS code G0452 is the #2,801 most-billed Medicaid procedure code, with $3.6M in payments across 205K claims from 2018–2024. The national median cost per claim is $9.27. Costs vary widely — the 90th percentile is $36.57 per claim, 3.9× the median.
Total Paid
$3.6M
0.00% of all spending
Total Claims
205K
Providers
139
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for G0452? Based on 124 providers billing this code nationally.
Median
$9.27
Average
$15.09
Std Dev
$18.24
Max
$109.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.26 and $17.81 per claim for this code.
90% bill between $0.93 and $36.57.
Top 1% bill above $98.39.
About This Procedure
HCPCS code G0452 was billed by 139 providers across 205K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 169K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.27
Providers Billing
124
National Spending
$3.6M
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0452
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013013002 | $1.5M |
| 2 | 1629163670 | $211K |
| 3 | Geisinger Clinic Danville, PA · Surgery | $165K |
| 4 | 1871886366 | $157K |
| 5 | 1376709535 | $120K |
| 6 | 1700274727 | $120K |
| 7 | 1871101238 | $98K |
| 8 | North Shore-lij Medical Pc Great Neck, NY · Urology | $92K |
| 9 | 1477554814 | $79K |
| 10 | Yale University New Haven, CT · Internal Medicine | $73K |
| 11 | 1457308637 | $56K |
| 12 | 1942498985 | $47K |
| 13 | 1548205909 | $38K |
| 14 | 1033535497 | $38K |
| 15 | 1043275787 | $35K |
| 16 | 1538173539 | $35K |
| 17 | 1710967369 | $31K |
| 18 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $31K |
| 19 | Tricore Reference Laboratories Albuquerque, NM · Clinical Medical Laboratory | $30K |
| 20 | 1164512851 | $29K |
Showing top 20 of 139 providers billing this code