G0468
HCPCS Procedure Code
HCPCS code G0468 is the #1,587 most-billed Medicaid procedure code, with $18.4M in payments across 292K claims from 2018–2024. The national median cost per claim is $43.74. Costs vary widely — the 90th percentile is $107.62 per claim, 2.5× the median.
Total Paid
$18.4M
0.00% of all spending
Total Claims
292K
Providers
347
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for G0468? Based on 190 providers billing this code nationally.
Median
$43.74
Average
$57.63
Std Dev
$83.93
Max
$575.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.48 and $69.61 per claim for this code.
90% bill between $0.16 and $107.62.
Top 1% bill above $401.09.
About This Procedure
HCPCS code G0468 was billed by 347 providers across 292K claims, totaling $18.4M in Medicaid payments from 2018–2024. This code was used for 284K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$43.74
Providers Billing
190
National Spending
$18.4M
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0468
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982614103 | $2.6M |
| 2 | 1518945278 | $2.4M |
| 3 | 1255331583 | $1.5M |
| 4 | 1982694196 | $1.4M |
| 5 | 1932119153 | $718K |
| 6 | 1982611562 | $697K |
| 7 | 1861402067 | $628K |
| 8 | 1700832185 | $536K |
| 9 | 1497833271 | $443K |
| 10 | 1659792026 | $423K |
| 11 | 1033320072 | $361K |
| 12 | 1477538239 | $350K |
| 13 | 1992818835 | $313K |
| 14 | 1518026541 | $310K |
| 15 | 1124052816 | $303K |
| 16 | 1700950235 | $272K |
| 17 | 1457361677 | $259K |
| 18 | 1407309685 | $258K |
| 19 | 1720152275 | $249K |
| 20 | 1649368457 | $249K |
Showing top 20 of 347 providers billing this code