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#1234 of 11K

G0466

HCPCS Procedure Code

HCPCS code G0466 is the #1,234 most-billed Medicaid procedure code, with $32.1M in payments across 414K claims from 2018–2024. The national median cost per claim is $63.31.

Total Paid

$32.1M

0.00% of all spending

Total Claims

414K

Providers

497

Avg Cost/Claim

$78

National Cost Distribution

How much do providers bill per claim for G0466? Based on 438 providers billing this code nationally.

Median

$63.31

Average

$72.51

Std Dev

$70.15

Max

$599.25

Percentile Distribution (Cost per Claim)

p10
$15.34
p25
$37.66
Median
$63.31
p75
$79.78
p90
$122.74
p95
$190.21
p99
$410.93

50% of providers bill between $37.66 and $79.78 per claim for this code.

90% bill between $15.34 and $122.74.

Top 1% bill above $410.93.

About This Procedure

HCPCS code G0466 was billed by 497 providers across 414K claims, totaling $32.1M in Medicaid payments from 2018–2024. This code was used for 399K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.31

Providers Billing

438

National Spending

$32.1M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0466

#ProviderTotal Paid
11669479929$1.6M
21811065576$1.5M
31518945278$1.3M
41780784439$1.2M
51043373244$999K
61669530986$959K
71326055450$639K
81982611562$630K
91023560331$560K
101568560308$546K
111902074586$422K
121982694196$414K
131255331583$413K
141679571392$401K
151720152275$396K
161265519813$388K
171912998287$381K
181972530277$373K
191457711202$363K
201073690616$359K

Showing top 20 of 497 providers billing this code