G0454
HCPCS Procedure Code
HCPCS code G0454 is the #6,161 most-billed Medicaid procedure code, with $89K in payments across 5,994 claims from 2018–2024. The national median cost per claim is $0.78. Costs vary widely — the 90th percentile is $27.17 per claim, 34.8× the median.
Total Paid
$89K
0.00% of all spending
Total Claims
5,994
Providers
9
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for G0454? Based on 8 providers billing this code nationally.
Median
$0.78
Average
$11.12
Std Dev
$25.54
Max
$74.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.49 and $5.60 per claim for this code.
90% bill between $0.37 and $27.17.
Top 1% bill above $69.33.
About This Procedure
HCPCS code G0454 was billed by 9 providers across 5,994 claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 4,713 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.78
Providers Billing
8
National Spending
$89K
Avg/Median Ratio
14.26×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0454
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982705661 | $85K |
| 2 | 1477609865 | $2K |
| 3 | 1346543568 | $699 |
| 4 | 1699064113 | $660 |
| 5 | 1023332749 | $362 |
| 6 | 1104362169 | $246 |
| 7 | 1316293913 | $75 |
| 8 | 1942666466 | $72 |
| 9 | 1043460744 | $0 |
Showing top 9 of 9 providers billing this code