G0459
HCPCS Procedure Code
HCPCS code G0459 is the #6,197 most-billed Medicaid procedure code, with $84K in payments across 9,241 claims from 2018–2024. The national median cost per claim is $4.39. Costs vary widely — the 90th percentile is $33.27 per claim, 7.6× the median.
Total Paid
$84K
0.00% of all spending
Total Claims
9,241
Providers
22
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for G0459? Based on 13 providers billing this code nationally.
Median
$4.39
Average
$12.11
Std Dev
$13.65
Max
$37.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.05 and $23.43 per claim for this code.
90% bill between $1.09 and $33.27.
Top 1% bill above $37.30.
About This Procedure
HCPCS code G0459 was billed by 22 providers across 9,241 claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 7,619 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.39
Providers Billing
13
National Spending
$84K
Avg/Median Ratio
2.76×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0459
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689943946 | $48K |
| 2 | 1558553065 | $18K |
| 3 | 1104277656 | $5K |
| 4 | 1831628783 | $5K |
| 5 | 1023036613 | $4K |
| 6 | 1699793034 | $2K |
| 7 | 1487087201 | $937 |
| 8 | 1548360993 | $493 |
| 9 | 1710985064 | $152 |
| 10 | 1922342195 | $128 |
| 11 | 1154372464 | $66 |
| 12 | 1073042800 | $52 |
| 13 | 1649397969 | $45 |
| 14 | 1033147426 | $0 |
| 15 | 1396989380 | $0 |
| 16 | 1649334921 | $0 |
| 17 | 1790230183 | $0 |
| 18 | 1417132614 | $0 |
| 19 | 1801929757 | $0 |
| 20 | 1669422846 | $0 |
Showing top 20 of 22 providers billing this code